Organization Active NPI

Banko Chiropractic and Physical Therapy LLC

  • Physical Therapist
  • Easton, PA
National Provider Identifier
1235562166
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022924 Issued in PA
Legal business name
BANKO CHIROPRACTIC AND PHYSICAL THERAPY LLC
Practice address
3615 Nicholas St
Easton, PA 18045-5113
Phone
(610) 252-2216
Fax
(610) 252-5597
NPI assigned
Aug 14, 2013
Last updated
Sep 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Dr. Ted Banko, DCNPI 1346308418
Title
Owner/Dr
Phone
(610) 252-2216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC001707L PA
Physical Therapist 225100000X PT022924 PA Primary

Addresses

Primary practice location

3615 Nicholas St
Easton, PA 18045-5113

Mailing address

3615 Nicholas St
Easton, PA 18045-5113
Phone (610) 252-2216

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherPAALL NUMBERS PENDING APPROVAL MEDICARE PENNSYLVANIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1235562166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 NICHOLAS ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455113",
            "telephone_number": "610-252-2216",
            "fax_number": "610-252-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 NICHOLAS ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455113",
            "telephone_number": "610-252-2216",
            "fax_number": "610-252-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANKO CHIROPRACTIC AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "BANKO",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "OWNER/DR",
        "authorized_official_telephone_number": "610-252-2216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001707L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL NUMBERS PENDING APPROVAL MEDICARE PENNSYLVANIA",
            "identifier": "PENDING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.