Yvonne Gloria Bankole, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00038800 Issued in NJ

Practice address

1155 Pleasant Valley Way
West Orange, NJ 07052-1424

Phone

(973) 400-3812

NPI assigned

Oct 31, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1376010926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ELSMAN TER",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401620",
            "telephone_number": "201-259-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521424",
            "telephone_number": "973-400-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKOLE",
        "first_name": "YVONNE",
        "middle_name": "GLORIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00038800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenisha Bakayoko
• Christine Baker, PH.D.
• Balli Medical Equipment LLC
• Danielle Susan Baloga, PT, DPT
• Eliot Bank
• Radhika K Bapineedu, M.D.
• Rakhee Jayant Barai, MD
• Mikayla Barbarossa, APN
• Barnabas Health Medical Group, PC
• Barnabas Health Multispecialty

• Physical Therapy Assistant in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.