Individual provider Active NPI

Dana Rene' Banfield

  • Physical Therapy Assistant
  • Peoria, AZ
National Provider Identifier
1508440587
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
010335 Issued in AZ
Practice address
18441 N 87TH Ave
Peoria, AZ 85382-8532
Phone
(315) 335-9130
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 010335 AZ Primary

Addresses

Primary practice location

18441 N 87TH Ave
Peoria, AZ 85382-8532

Mailing address

PO Box 132
Black Canyon City, AZ 85324-0132
Phone (602) 717-3641

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

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1508440587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "BLACK CANYON CITY",
            "state": "AZ",
            "postal_code": "853240132",
            "telephone_number": "602-717-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18441 N 87TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828532",
            "telephone_number": "315-335-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANFIELD",
        "first_name": "DANA",
        "middle_name": "RENE'",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "010335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.