Dunbar Therapy Center, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

OTR/L 1092 Issued in WV

Legal business name

DUNBAR THERAPY CENTER, LLC

Doing business as

Dunbar Therapy Center

Practice address

1313 Dunbar Ave
Dunbar, WV 25064-2920

Phone

(304) 400-4896

Fax

(304) 400-4897

NPI assigned

Sep 10, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jasper Banzon, OTR/LNPI 1730200601

Title

Owner

Phone

(304) 654-6892

Specialties & licenses 1

Addresses

Other names 1

• Dunbar Therapy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasper S Banzon, OTR

  • Occupational Therapist
  • Dunbar, WV
  • NPI 1730200601
  Medicare reassignment NPD Authorized official
• Stacie Banzon

  • Physical Therapist
  • Dunbar, WV
  • NPI 1386247336
  Medicare reassignment NPD
• Anne Kilkenny

  • Speech-Language Pathologist
  • Charleston, WV
  • NPI 1780075713
  Medicare reassignment NPD

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1508291477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 DUNBAR AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642920",
            "telephone_number": "304-400-4896",
            "fax_number": "304-400-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 DUNBAR AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642920",
            "telephone_number": "304-400-4896",
            "fax_number": "304-400-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNBAR THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "BANZON",
        "authorized_official_first_name": "JASPER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-654-6892",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WV",
            "license": "OTR/L 1092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunbar Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayley Elizabeth Dewalder, DDS
• Sherry Dinicola
• Dunbar Eye Associates, PLLC
• Dunbar Medical Associates PLLC
• Dunbar Physical Therapy LLC
• Alice Duncan
• Kiana Dyess
• Debbie E Hissom, RN
• Matthew Eblen
• Rebecca Eckenrode

• Rehabilitation Clinic/Center in Dunbar, WV
• Providers in Dunbar, WV by specialty
• Rehabilitation Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.