Active NPI
Grant Allen Banks, DPT
- Physical Therapist
- Greenville, SC
National Provider Identifier
1053702019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7666
- Practice address
- 355 Woodruff Rd Ste 203
Greenville, SC 29607-3494 - Phone
- (864) 513-3019
- Fax
- (864) 712-9270
- NPI assigned
- Feb 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7666 | SC | Primary |
Addresses
Primary practice location
355 Woodruff Rd Ste 203
Greenville, SC 29607-3494
Mailing address
355 Woodruff Rd Ste 203
Greenville, SC 29607-3494
Phone (864) 513-3019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
355 Woodruff Rd
Suite 203
Greenville, SC 29607-3494
Phone (864) 513-3019
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Alliance Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
355 Woodruff Rd
Ste 203
Greenville, SC 29607
Phone (864) 354-8005
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Greenville, SC
- NPI 1295467389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1053702019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 WOODRUFF RD STE 203",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073494",
"telephone_number": "864-513-3019",
"fax_number": "864-712-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 WOODRUFF RD STE 203",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073494",
"telephone_number": "864-513-3019",
"fax_number": "864-712-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "GRANT",
"middle_name": "ALLEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-12",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.