Jonathan Banister, M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

112 E 12TH St
Alturas, CA 96101-3306

Phone

(530) 249-5352

NPI assigned

Oct 25, 2010

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 25, 2010.

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1497055396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E 12TH ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961013306",
            "telephone_number": "530-249-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 12TH ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961013306",
            "telephone_number": "530-249-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANISTER",
        "first_name": "JONATHAN",
        "credential": "M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxana Kaye Andrews, PH. D
• Virginia Baker, FNP-C
• Leonor Barba Vargas
• Janna M Bennett, RN 373974
• Brian Noel Bernard, PHD
• Caroline Eileen Blair, BACHELOR OF SCIENCE
• Jamie Leighanne Brazil Harris, RADT I

• All providers in Alturas, CA
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.