Heather E Baniak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2009020457 Issued in MO

Practice address

2454 West Clay
St Charles, MO 63301-2548

Phone

(636) 949-3926

Fax

(636) 949-3928

NPI assigned

Jul 21, 2009

Sex

Female

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

Other names 1

• Heather E Schaefer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Babar Enterprises LLC

  • Physical Therapist
  • Warrenton, MO
  • NPI 1548425002
  NPD (past)

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1316177637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 DEWEY AVE NW",
            "address_2": "STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495047335",
            "telephone_number": "616-356-5000",
            "fax_number": "636-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 WEST CLAY",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "633012548",
            "telephone_number": "636-949-3926",
            "fax_number": "636-949-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANIAK",
        "first_name": "HEATHER",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2009020457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01170364",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12480681",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "SCHAEFER",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacy Jefferson Baker, M.D.
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• Ayotunde Mark Bamimore, M.D
• Krista Emaly Banda, PLPC
• Elly Bangert
• Ashley Bankston
• Gregg Bantrup, M.D.
• Lisa Margaret Baragiola, RDN, LD
• Barinholtz Chiropractic, LLC
• Alec Barinholtz, D.C.

• Physical Therapist in St Charles, MO
• Providers in St Charles, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.