Active NPI
Jill Dehner Banyas, PT
- Physical Therapist
- Washington, DC
National Provider Identifier
1275798159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25052
- Practice address
- 507 Capitol CT NE Ste 100
Washington, DC 20002-7705 - Phone
- (202) 524-2320
- NPI assigned
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT871492 | DC | |
| Physical Therapist | 225100000X | 2305205557 | VA | |
| Pediatric Physical Therapist | 2251P0200X | 25052 | MD | |
| Pediatric Physical Therapist | 2251P0200X | 2305205557 | VA | |
| Physical Therapist | 225100000X | 25052 | MD | Primary |
Addresses
Primary practice location
507 Capitol CT NE Ste 100
Washington, DC 20002-7705
Mailing address
524 Lynch St
Rockville, MD 20850-2116
Phone (530) 386-1632
Other practice location 1
524 Lynch St
Rockville, MD 20850-2116
Phone (530) 386-1632
Other practice location 2
6506 Loisdale Rd
Suite 300
Springfield, VA 22150-1824
Phone (703) 924-4100
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 |
|---|---|---|---|
| PT871492 | DC | MD | Physical Therapist |
| 2305205557 | VA | MD | Physical Therapist |
| 25052 | MD | MD | Pediatric Physical Therapist |
Interoperability endpoints
- jill.dehnerbanyas.p3@direct.mcg-hhs.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1275798159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 LYNCH ST",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208502116",
"telephone_number": "530-386-1632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 CAPITOL CT NE STE 100",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200027705",
"telephone_number": "202-524-2320"
}
],
"practiceLocations": [
{
"address_1": "524 Lynch St",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208502116",
"country_code": "US",
"telephone_number": "530-386-1632",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6506 Loisdale Rd",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "VA",
"postal_code": "221501824",
"country_code": "US",
"telephone_number": "703-924-4100",
"fax_number": "703-924-0126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEHNER BANYAS",
"first_name": "JILL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT871492",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205557",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MD",
"license": "25052",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "VA",
"license": "2305205557",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.