Individual provider Active NPI

Gemma Manuel Banez, P.T.

  • Physical Therapist
  • Lake Worth, FL
National Provider Identifier
1154516318
Registry record updated Apr 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011092 Issued in FL
Practice address
7775 Lake Worth Rd Ste a
Lake Worth, FL 33467-2519
Phone
(561) 855-6170
Fax
(561) 855-6167
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011092 FL Primary

Addresses

Primary practice location

7775 Lake Worth Rd Ste a
Lake Worth, FL 33467-2519

Mailing address

7775 Lake Worth Rd
Lake Worth, FL 33467-2536
Phone (561) 967-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111025000696 FL Practitioner - Physical Therapist in Private Practice 6901079623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7775 Lake Worth Rd
Lake Worth, FL 33467-2536

7775 Lake Worth Rd
Suite a
Lake Worth, FL 33467-2519
Phone (561) 855-6170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011092FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gemma Banez Physical Therapy,PA Physical Therapist CurrentSince Jun 30, 1999 Accepting new patients

Locations

7775 Lake Worth Rd
Lake Worth, FL 33467
Phone (561) 967-6800

7775 Lake Worth Rd
Ste A
Lake Worth, FL 33467
Phone (561) 855-6170

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1154516318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7775 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672536",
            "telephone_number": "561-967-6800",
            "fax_number": "561-967-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7775 LAKE WORTH RD STE A",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672519",
            "telephone_number": "561-855-6170",
            "fax_number": "561-855-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANEZ",
        "first_name": "GEMMA",
        "middle_name": "MANUEL",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT011092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; 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.

Verify at the official NPI Registry.