Individual provider Active NPI

Bradley Allan Banas, PT

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1164097697
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019953 Issued in MI
Practice address
2226 Crooks Rd
Rochester Hills, MI 48309
Phone
(248) 289-3584
NPI assigned
May 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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 5501019953 MI Primary

Addresses

Primary practice location

2226 Crooks Rd
Rochester Hills, MI 48309

Mailing address

1773 Star Batt Dr
Rochester Hills, MI 48309-3708
Phone (248) 601-9207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210715002352 MI Practitioner - Physical Therapist in Private Practice 4183026925 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthquest Physical Therapy and Wellness Center LLCGroup PAC ID 5698847044, 16 clinicians

Practice addresses (Care Compare)

2226 Crooks Rd
Rochester Hills, MI 48309-3600
Phone (248) 289-3584

Merit-based Incentive Payment System (MIPS)

Final score
66.87 of 100Reported as group
Quality
63.22
Improvement activities
40
Cost
56.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019953MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthquest Physical Therapy and Wellness Center of Clarkston LLC Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Healthquest Physical Therapy and Wellness Center LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients

Locations

31645 Southfield Rd
Beverly Hills, MI 48025
Phone (248) 564-3535

32 S Main St
Clarkston, MI 48346
Phone (248) 922-9001

2226 Crooks Rd
Rochester Hills, MI 48309
Phone (248) 289-3584

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

878 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 650-4404

Organizations & group practices 2

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1164097697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708",
            "telephone_number": "248-601-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 CROOKS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48309",
            "telephone_number": "248-289-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAS",
        "first_name": "BRADLEY",
        "middle_name": "ALLAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.