Henry A Banzon, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

993 Issued in NV

Practice address

10561 Jeffreys St
Suite 200
Henderson, NV 89052-4179

Phone

(702) 407-9431

Fax

(702) 407-9461

NPI assigned

Jul 15, 2005

Last updated

Dec 10, 2009By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Therapy Centers LLCGroup PAC ID 0345202834, 8 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Therapy Centers, LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1699861666
  Medicare reassignment Care Compare group NPD
• Comprehensive Therapy Centers, LLC

  • Physical Therapist
  • Henderson, NV
  • NPI 1619193224
  NPD
• Comprehensive Therapy Centers, LLC

  • Physical Therapist
  • Henderson, NV
  • NPI 1942472436
  NPD
• Comprehensive Therapy Centers, LLC

  • Physical Therapist
  • Pahrump, NV
  • NPI 1942426549
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1396744082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 E SUNSET RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207202",
            "telephone_number": "702-932-4308",
            "fax_number": "702-837-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST",
            "address_2": "SUITE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524179",
            "telephone_number": "702-407-9431",
            "fax_number": "702-407-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANZON",
        "first_name": "HENRY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506625",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor F Bandle
• Alexis Madelene Banham, RBT
• Bryce Morgan Banister James
• Valerie Banister
• Carla Banner
• Maverick Baradi, DPT
• Silvia Barahona
• Olivia Barajas
• Scott L. Baranoff, M.D.
• Itzayana Barba

• Physical Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.