BLAKE ARIEL BANNER (NPI# 1942770342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942770342 |
| Entity Type | Individual |
| Full Name | BLAKE ARIEL BANNER |
| Credential | PT |
| Practice Address |
2950 Donnell Dr Ste G Forestville MD 20747-3277 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 2404923410 |
| Practice Fax Number | 3012789852 |
| Mailing Telephone | 6302962223 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 27579 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 8694 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Patewood Dr Ste C150, Greenville, SC 296156323 | 8644540904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821465592 | Blake Banner | Specialist/Technologist | 971a Roberts Dr, Elgin, SC 29045-9087 | 2015-08-28 |
| Street Address |
2950 DONNELL DR STE G |
| City | FORESTVILLE |
| State | MD |
| Zip Code | 20747-3277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942614680 | Lauren Rose Buyer | Physical Therapist | 2950 Donnell Dr Ste G, Forestville, MD 20747-3277 | 2014-06-19 |
| 1164055562 | Bradley Pink | Physical Therapist | 2950 Donnell Dr Ste G, Forestville, MD 20747-3277 | 2020-02-14 |
| 1831674639 | Ati Holding LLC | Occupational Therapist | 2950 Donnell Dr Ste G, Forestville, MD 20747-3277 | 2018-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362649 | Afua Birago Opoku-debrah | Optometrist | 3309 Forestville Road, Forestville, MD 20747 | 2018-07-02 |
| 1386161644 | Anyinwi Suh Frankai | Home Health Aide | Apt 104 Silver Hill Court, District Heights, MD 20747 | 2017-08-28 |
| 1811418858 | House of Still Inc | Case Management | 5416 Stoney Meadows Drive, District Heights, MD 20747 | 2017-06-29 |
| 1952844193 | Ashley Lynn Roberson | Social Worker | 7610 Pennsylvania Ave Ste 203, Forestville, MD 20747 | 2016-11-20 |
| 1396120622 | Help N Hands Transportation | Non-emergency Medical Transport (VAN) | 6120 Surrey Square Ln, T-3, District Heights, MD 20747 | 2015-07-28 |
| 1912254491 | Robin Maria West | Home Health Aide | 21 Tunic Ave, Capitol Hieghts, MD 20747 | 2012-08-14 |
| 1467713529 | Natasha Tann | Home Health Aide | 1966 Rochelle Ave, # 922, District Heights, MD 20747 | 2012-06-06 |
| 1568755585 | Jamar Domonic Smith | Physical Therapist | 2810 Walters Lane Suite 100, District Heights, MD 20747 | 2011-05-24 |
| 1366615288 | Sld Services | Assisted Living Facility | 7402 Kipling Park Way, District Heights, MD 20747 | 2008-04-11 |
| 1285777375 | Lorenzo Austin | Chiropractor | 5730-a Silver Hill Rd, District Heights, MD 20747 | 2007-02-15 |
| Find all providers in zip 20747 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164953519 | Yashesh Goradia | Physical Therapist | 2950 Donnell Dr, Unit G, Forestville, MD 20747-3256 | 2017-03-27 |
| 1942614680 | Lauren Rose Buyer | Physical Therapist | 2950 Donnell Dr Ste G, Forestville, MD 20747-3277 | 2014-06-19 |
| 1417194655 | Lauren Hallie Collins | Physical Therapist | 7610 Pennsylvania Ave Ste 305, 7525 Greenway Center Drive, Ste216, Greenbelt, Md 20770, Forestville, MD 20747-4701 | 2009-01-09 |
| 1194875583 | Diane Carol Ventre | Physical Therapist | 6091 Hughes Rd, Forestville, CA 95436-9618 | 2007-01-10 |
| 1972662278 | Mark Joseph Sever | Physical Therapist | 6478 Mirabel Rd, Forestville, CA 95436-1483 | 2006-12-06 |
| 1164055562 | Bradley Pink | Physical Therapist | 2950 Donnell Dr Ste G, Forestville, MD 20747-3277 | 2020-02-14 |
| 1619458122 | Aderonke M M Abassi | Physical Therapist | 7420 Marlboro Pike, Forestville, MD 20747-4343 | 2018-08-23 |
| 1720270481 | Kathleen Watson | Physical Therapist | 6130 Hwy 116, Forestville, CA 95436-9397 | 2007-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981551 | Ralp Lagat Betonio | Physical Therapist | 3901 Chelsea Park Ln Apt 12, Burtonsville, MD 20866-2112 | 2020-10-29 |
| 1336747930 | Melissa Wohlberg | Physical Therapist | 1700 Reisterstown Rd Ste 109, Pikesville, MD 21208-2978 | 2020-10-15 |
| 1912505025 | Michelle Mikesell | Physical Therapist | 8699 S Pacific Ct, Middletown, MD 21769-8535 | 2020-10-12 |
| 1629675087 | Kari Hough | Physical Therapist | 5130 Dorsey Hall Dr Fl 1, Ellicott City, MD 21042-7870 | 2020-10-07 |
| 1235736984 | Dawn Maria Seestedt | Physical Therapist | 2501 Poplar Dr, Baltimore, MD 21207-6032 | 2020-10-06 |
| 1669079455 | Rebecca Cynthia White | Physical Therapist | 1700 Reisterstown Rd Ste 125, Pikesville, MD 21208-2978 | 2020-10-05 |
| 1023615929 | Nicholas Alan Ritter | Physical Therapist | 2709 Hampden Ave, Baltimore, MD 21211-3031 | 2020-10-04 |
| 1790392058 | Tyler James Thornburg | Physical Therapist | 1207 Liberty Rd # 106, Eldersburg, MD 21784-6574 | 2020-09-30 |
| 1225645195 | Annapolis Family Physical Therapy, Inc | Physical Therapist | 979 Bay Village Dr, Annapolis, MD 21403-4089 | 2020-09-25 |
| 1811504608 | Strive Sports Medicine Physical Therapy, LLC | Physical Therapist | 206 N Fruitland Blvd, Fruitland, MD 21826-1717 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | FORESTVILLE |
| Zip Code | 20747 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.