IndividualActive
Jordan Bennett
NPI 1194131870 · Physical Therapist · Gulfport, MS
Provider details
- NPI number
- 1194131870
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PT5517 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11010 David St Ste a
Gulfport, MS 39503-3481
Phone: (228) 832-8327
Approximate (ZIP-level) locationGet directions
Mailing address
11010 David St Ste a
Gulfport, MS 39503-3481
Registry dates
- Enumerated
- 2014-07-02
- Last updated
- 2023-08-22
- Certified
- 2023-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.