Active NPI
Steven Marc Banks
- Occupational Therapist
- Wayne, MI
National Provider Identifier
1184280133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5202007749
- Practice address
- 3999 Venoy Rd
Wayne, MI 48184-1485 - Phone
- (734) 727-0440
- NPI assigned
- May 15, 2019
- Last updated
- May 15, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5202007749 | MI | Primary |
Addresses
Primary practice location
3999 Venoy Rd
Wayne, MI 48184-1485
Mailing address
20444 Marlowe St
Detroit, MI 48235-1645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5202007749 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1184280133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20444 MARLOWE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482351645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3999 VENOY RD",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841485",
"telephone_number": "734-727-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "STEVEN",
"middle_name": "MARC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-15",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5202007749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.