Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
ETHAN CONNER BENNETT
Active
Individual
ETHAN CONNER BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTT40306
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTT40306
MEDICAL LICENSE
FL
Enumeration date
06/08/2023
Last updated
03/26/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up