Nicole Marie Bansbach, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

050922 Issued in NY

Practice address

1 Bernabi Rd
Spencerport, NY 14559-1800

Phone

(585) 349-5401

NPI assigned

Dec 13, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spencerport School District

  • Student Health Clinic/Center
  • Spencerport, NY
  • NPI 1538433511
  NPD (past)

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1801603899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CLINTON ST",
            "city": "BERGEN",
            "state": "NY",
            "postal_code": "144169576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BERNABI RD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591800",
            "telephone_number": "585-349-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSBACH",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Ann Bacon, AUD
• Marilyn M Bader, OTR
• Meagan Elizabeth Bader
• Cynthia M Baldwin, FNP
• Daniela Ball-Lanza, M.S.
• Stephanie M Barone, NURSE PRACTITIONER
• Donna Marie Baxter, M.ED. LMHC
• William G Baxter, M.ED. LMHC
• Shirita A Beard, NP
• John E Bearer, PT

• Physical Therapist in Spencerport, NY
• Providers in Spencerport, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.