Individual provider Active NPI

Stephanie Anne Bann, DPT

  • Physical Therapist
  • Bel Air, MD
National Provider Identifier
1710318506
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24849 Issued in MD
Practice address
1401 Conowingo Rd
Suite C
Bel Air, MD 21014-1809
Phone
(410) 420-2257
Fax
(410) 420-2267
NPI assigned
Dec 5, 2013
Last updated
Dec 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24849 MD Primary

Addresses

Primary practice location

1401 Conowingo Rd
Suite C
Bel Air, MD 21014-1809

Mailing address

1401 Conowingo Rd
Suite C
Bel Air, MD 21014-1809
Phone (410) 420-2257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190725003176 AK Practitioner - Physical Therapist in Private Practice 8729217856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Juneau Bone and Joint Center LLCGroup PAC ID 7214038157, 15 clinicians

Practice addresses (Care Compare)

3220 Hospital Dr
Suite 101
Juneau, AK 99801-7899
Phone (907) 364-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24849MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy Inc Physical Therapist CurrentSince Jul 2, 2019 Accepting new patients
Pleasants Integrative Health Consultants CurrentSince Sep 22, 2024 Accepting new patients
Juneau Bone & Joint Center, LLC. CurrentSince Sep 22, 2024 Accepting new patients
Juneau Aesthetics & Wellness LLC PastSince Sep 14, 2025 Accepting new patients

Locations

1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266

3220 Hospital Dr
Juneau, AK 99801
Phone (907) 364-2663

3220 Hospital Dr
Ste 101
Juneau, AK 99801
Phone (907) 364-2663

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1710318506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CONOWINGO RD",
            "address_2": "SUITE C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210141809",
            "telephone_number": "410-420-2257",
            "fax_number": "410-420-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CONOWINGO RD",
            "address_2": "SUITE C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210141809",
            "telephone_number": "410-420-2257",
            "fax_number": "410-420-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANN",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.