Individual provider Active NPI

Carrie Dietz Banton, PT

  • Physical Therapist
  • Lemoyne, PA
National Provider Identifier
1235197740
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013181L Issued in PA
Practice address
319 S 10TH St
Lemoyne, PA 17043-1708
Phone
(717) 943-1888
Fax
(717) 943-1887
NPI assigned
May 3, 2006
Last updated
Jan 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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 PT013181L PA Primary

Addresses

Primary practice location

319 S 10TH St
Lemoyne, PA 17043-1708

Mailing address

319 S 10TH St
Lemoyne, PA 17043-1708
Phone (717) 943-1888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130227000080 PA Practitioner - Physical Therapist in Private Practice 1052566999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgeons LTDGroup PAC ID 4385535244, 92 clinicians

Practice addresses (Care Compare)

3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone (717) 761-5530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013181LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgeons LTD Physical Therapist CurrentSince May 1, 2016 Accepting new patients
Orthopedic Surgeons LTD Physical Therapist CurrentSince May 1, 2016 Accepting new patients

Locations

3399 Trindle Rd
Camp Hill, PA 17011
Phone (717) 901-4236

3399 Trindle Rd
Fl 2
Camp Hill, PA 17011
Phone (717) 920-2620

250 Alexander Spring Rd
Fl 2
Carlisle, PA 17015
Phone (717) 920-2620

450 Powers Ave
Lower Paxton, PA 17109
Phone (717) 615-1409

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1235197740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S 10TH ST",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431708",
            "telephone_number": "717-943-1888",
            "fax_number": "717-943-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S 10TH ST",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431708",
            "telephone_number": "717-943-1888",
            "fax_number": "717-943-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTON",
        "first_name": "CARRIE",
        "middle_name": "DIETZ",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013181L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.