Active NPI
Gemma Manuel Banez, P.T.
- Physical Therapist
- Lake Worth, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011092
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT011092 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gemma Banez Physical Therapy,PA | Physical Therapist | Current | 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.
-
- Physical Therapist
- Lake Worth, FL
- NPI 1245332758
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.