Jan Kenneth Banting, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295758 Issued in CA

Practice address

340 Dardanelli LN Ste 10
Los Gatos, CA 95032-1418

Phone

(408) 412-8100

Fax

(408) 412-8499

NPI assigned

Nov 5, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1508334863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 DARDANELLI LN STE 10",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321418",
            "telephone_number": "408-412-8110",
            "fax_number": "408-412-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DARDANELLI LN STE 10",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321418",
            "telephone_number": "408-412-8100",
            "fax_number": "408-412-8499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Saratoga Ave Ste 46",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951295101",
            "country_code": "US",
            "telephone_number": "408-412-8130",
            "fax_number": "408-412-8499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20823 Stevens Creek Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950142112",
            "country_code": "US",
            "telephone_number": "408-252-6076",
            "fax_number": "408-252-1159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANTING",
        "first_name": "JAN KENNETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Cyril Ballon, M.D.
• Aiden G Balmilero
• Brittany Merrae Balogh, PH.D.
• Shahrzad Bamasian, RPH
• Snezana Bandic, MA
• Pamela Kaye Baraceros
• Giselle Barajas
• Misty Beatriz Barajas
• Kshitija Dinesh Barawkar, DPT
• Beverly Barboza, M.D.

• Physical Therapist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.