Individual provider Active NPI

Jill Dehner Banyas, PT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1275798159
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25052 Issued in MD
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

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT871492DCMDPhysical Therapist
2305205557VAMDPhysical Therapist
25052MDMDPediatric Physical Therapist

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.