Active NPI
Deborah Banks
- Pediatric Physical Therapist
- Shreveport, LA
National Provider Identifier
1386944718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 00651
- Practice address
- 3100 Samford Ave
Shreveport, LA 71103-4239 - Phone
- (318) 226-3329
- Fax
- (318) 424-7610
- NPI assigned
- Nov 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 00651 | LA | Primary |
Addresses
Primary practice location
3100 Samford Ave
Shreveport, LA 71103-4239
Mailing address
3100 Samford Ave
Shreveport, LA 71103-4239
Phone (318) 226-3329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00651 | LA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1386944718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SAMFORD AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034239",
"telephone_number": "318-226-3329",
"fax_number": "318-424-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SAMFORD AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034239",
"telephone_number": "318-226-3329",
"fax_number": "318-424-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "DEBORAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "LA",
"license": "00651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.