Rebecca Ann Banatao, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

295043 Issued in CA

Practice address

14333 Seagate Dr
San Leandro, CA 94577-6412

Phone

(920) 268-2091

NPI assigned

Jul 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Ann Bouressa Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Ramon Valley Physical Therapy IncGroup PAC ID 6901874023, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• San Ramon Valley Physical Therapy Inc.

  • Orthopedic Physical Therapist
  • Danville, CA
  • NPI 1215005921
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1760969752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 DIABLO RD STE 201",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263410",
            "telephone_number": "925-552-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14333 SEAGATE DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776412",
            "telephone_number": "920-268-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANATAO",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "295043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BOURESSA",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mercedes Ballesteros
• Mark Balleza
• Veronica Balseiro, MA
• Britt Bernadette Baltazar
• Michelle Nombre Baltazar, PT
• Keilani M Banawa, DMD
• Bancroft Convalescent Hospital, Inc.
• Bancroft Dental Care
• Bancroft Health Group, Inc.
• Bancroft Pediatric Medical Group

• Orthopedic Physical Therapist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.