Active NPI
Courtney Taylor Banks, OTR/L
- Occupational Therapist
- Liberty, NY
National Provider Identifier
1487292785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 022053
- Practice address
- 170 Lake St
Liberty, NY 12754-1966 - Phone
- (845) 292-4200
- NPI assigned
- Dec 17, 2019
- Last updated
- Dec 17, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 19486 | FL | |
| Occupational Therapist | 225X00000X | 022053 | NY | Primary |
Addresses
Primary practice location
170 Lake St
Liberty, NY 12754-1966
Mailing address
5 Southgate Rd Apt 25
Middletown, NY 10940-2056
Phone (607) 267-8493
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NY | NA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA | Other |
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 |
|---|---|---|---|
| 022053 | NY | MD | Physical Therapist |
| 19486 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1487292785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SOUTHGATE RD APT 25",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402056",
"telephone_number": "607-267-8493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 LAKE ST",
"city": "LIBERTY",
"state": "NY",
"postal_code": "127541966",
"telephone_number": "845-292-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "COURTNEY",
"middle_name": "TAYLOR",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "19486",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"endpointDescription": "NA",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "NA",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NA",
"address_1": "170 Lake St",
"city": "Liberty",
"state": "NY",
"country_code": "US",
"postal_code": "127541966",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Liberty, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.