Active NPI
Lynn Bankston, MPT
- Physical Therapist
- Tampa, FL
National Provider Identifier
1255669289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22710
- Practice address
- 11923 Middlebury Dr
Tampa, FL 33626-2521 - Phone
- (813) 957-7174
- NPI assigned
- Dec 2, 2009
- Last updated
- Dec 2, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22710 | FL | Primary |
Addresses
Primary practice location
11923 Middlebury Dr
Tampa, FL 33626-2521
Mailing address
11923 Middlebury Dr
Tampa, FL 33626-2521
Phone (813) 957-7174
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22710 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conrad & Renzi, P.a. | Past | Accepting new patients | |
| Conrad & Renzi, P.a. | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Towson, MD
- NPI 1457880148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259712000000",
"number": "1255669289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11923 MIDDLEBURY DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336262521",
"telephone_number": "813-957-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11923 MIDDLEBURY DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336262521",
"telephone_number": "813-957-7174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKSTON",
"first_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-02",
"last_updated": "2009-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "22710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.