Gemma Banez Physical Therapy,PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011092 Issued in FL

Legal business name

GEMMA BANEZ PHYSICAL THERAPY,PA

Practice address

7775 Lake Worth Rd Ste a
Lake Worth, FL 33467-2519

Phone

(561) 855-6170

Fax

(561) 855-6167

NPI assigned

Sep 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Gemma Banez, RPTNPI 1154516318

Title

President/Director

Phone

(561) 855-6170

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gemma Manuel Banez, P.T.

  • Physical Therapist
  • Lake Worth, FL
  • NPI 1154516318
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713052800000",
    "number": "1245332758",
    "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"
        },
        {
            "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": {
        "organization_name": "GEMMA BANEZ PHYSICAL THERAPY,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A",
        "authorized_official_last_name": "BANEZ",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "561-855-6170",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT011092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885954000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianne Gaviria, PSYD
• Rebecca Sue Gay, CD
• Lauren Gaydosh
• GCN Therapies/Genylima/SLP
• Gemini Ambulatory Surgical Center Incorporated
• Gen-X Construction Inc.
• Genes Statewide Services LLC
• Genesis House Recovery Residence Inc.
• Genesiscare USA of Florida LLC (Urologic Specialists)
• Geneva White DMD PA

• Physical Therapist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Physical Therapist in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.