Richard R. Banse, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1069839 Issued in TX

Practice address

2150 W Wheeler Ave
Aransas Pass, TX 78336-4711

Phone

(361) 758-5199

Fax

(361) 758-9227

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1285659656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W WHEELER AVE",
            "city": "ARANSAS PASS",
            "state": "TX",
            "postal_code": "783364711",
            "telephone_number": "361-758-5199",
            "fax_number": "361-758-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W WHEELER AVE",
            "city": "ARANSAS PASS",
            "state": "TX",
            "postal_code": "783364711",
            "telephone_number": "361-758-5199",
            "fax_number": "361-758-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSE",
        "first_name": "RICHARD",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1069839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427437-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84182T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ap Wellness Clinic for Women, Inc.
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• David Henry Binder, DDS
• Lisa Jill Blair, MD
• Justin Ryan Brown, D.O.
• Melissa A Bruce, F.N.P.

• Physical Therapist in Aransas Pass, TX
• Providers in Aransas Pass, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.