Ana Corina Bancila, PTA, CKTP

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

92078202402 Issued in UT

Practice address

12702 S Fort St
Draper, UT 84020-9755

Phone

(801) 571-2704

NPI assigned

Jul 23, 2019

Sex

Female

Sole proprietor

Yes

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1427601954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4571 S WOODDUCK LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174116",
            "telephone_number": "706-816-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 S FORT ST",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209755",
            "telephone_number": "801-571-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANCILA",
        "first_name": "ANA CORINA",
        "credential": "PTA, CKTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "UT",
            "license": "92078202402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Reed Ball, PHARMD
• Pamela Balla-Dibblee, PT
• Ballard Medical Products
• Meilee Ballard
• Bailey Banbury
• Jacob Bangerter
• Sarah Barba
• Katie Elizabeth Barber, CSW
• Amanda Barclay
• Kelly Marie Barland, PHARMD

• Physical Therapy Assistant in Draper, UT
• Providers in Draper, UT by specialty
• Physical Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.