Stacie Banzon

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1145 Dunbar Avenue
Dunbar, WV 25064-2506

Phone

(304) 400-4896

NPI assigned

Nov 20, 2020

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

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dunbar Physical Therapy LLCGroup PAC ID 4981047891, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dunbar Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Dunbar, WV
  • NPI 1063198851

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Dunbar Therapy Center, LLC

  • Rehabilitation Clinic/Center
  • Dunbar, WV
  • NPI 1508291477

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1386247336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "SALT ROCK",
            "state": "WV",
            "postal_code": "255590398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 DUNBAR AVENUE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642506",
            "telephone_number": "304-400-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANZON",
        "first_name": "STACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Bailey
• Lisa Bailey
• Jessica Baisden, PHARMD
• Teresa Banks
• Jasper S Banzon, OTR
• Connie Barr
• Kelli Batch
• David Edward Beaver, D.D.S.
• Casey Ryan Belcher
• Alyson Bell

• Physical Therapist in Dunbar, WV
• Providers in Dunbar, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.