Active NPI
Lori Banfield, PT
- Physical Therapist
- Albany, NY
National Provider Identifier
1730198490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026059
- Practice address
- 314 S Manning Blvd
Albany, NY 12208-1708 - Phone
- (518) 453-2273
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 026059 | NY | Primary |
Addresses
Primary practice location
314 S Manning Blvd
Albany, NY 12208-1708
Mailing address
1 Magnolia Cir
Ravena, NY 12143-1723
Phone (518) 312-3135
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00026059 | Medicaid | NY | |
| 10083262 | Other | CDPHP | |
| 371499 | Other | MVP | |
| 83643 | Other | GHIHMO | |
| 000416437001 | Other | BSNENY | |
| Q08A21 | Other | EMPIRE BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040616001353 | NY | Practitioner - Physical Therapist in Private Practice | 2567446560 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PRN Physical, Occupational and Speech Therapy Network, PLLC
Practice addresses (Care Compare)
467 Delaware Ave
Delmar, NY 12054-3400
Phone (518) 641-0958
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026059 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PRN Physical, Occupational and Speech Therapy Network, PLLC | Current | Accepting new patients | |
| PRN Physical, Occupational and Speech Therapy Network, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
2222 Sullivan Trl
Ste 105
Easton, PA 18040
Phone (574) 261-7058
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- East Greenbush, NY
- NPI 1336185263
NY, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Troy, NY
- NPI 1568059665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1730198490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MAGNOLIA CIR",
"city": "RAVENA",
"state": "NY",
"postal_code": "121431723",
"telephone_number": "518-312-3135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 S MANNING BLVD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122081708",
"telephone_number": "518-453-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANFIELD",
"first_name": "LORI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00026059",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10083262",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "371499",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHIHMO",
"identifier": "83643",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000416437001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "Q08A21",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.