Tyson Kenton Banner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13744522-2401 Issued in UT

Practice address

1490 E Foremaster Dr Ste 110
St George, UT 84790-4492

Phone

(435) 288-2242

NPI assigned

Jan 3, 2024

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

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevate Physical Therapy PLLCGroup PAC ID 5496152548, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elevate Physical Therapy PLLC

  • Physical Therapist
  • Cedar City, UT
  • NPI 1134704083
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1366212177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SUGAR LEO RD",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907947",
            "telephone_number": "801-603-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 110",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904492",
            "telephone_number": "435-288-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNER",
        "first_name": "TYSON",
        "middle_name": "KENTON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13744522-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bankhead, LMT
• Benjamin Howard Banks
• Sally Ann Banks, LCSW
• Steven Howard Banks, DMD
• Kelsey Banner, DPT
• Colby Lee Barber, M.D.
• Noah Barbush
• Adam Barker
• Landon Max Barker, PHARMD
• Sienna Aspen Barker

• Physical Therapist in St George, UT
• Providers in St George, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.