NPIMap

Organization Active NPI

Banyan Physical Therapy

  • Physical Therapy Clinic/Center
  • Palm Springs, FL
National Provider Identifier
1821564816
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BANYAN PHYSICAL THERAPY
Practice address
2324 S Congress Ave Ste 1a
Palm Springs, FL 33406-7667
Phone
(561) 408-0903
Fax
(561) 408-0905
NPI assigned
Oct 17, 2018
Last updated
Oct 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Fernando MirandaNPI 1861531956
Title
Physical Therapist
Phone
(561) 317-1872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2324 S Congress Ave Ste 1a
Palm Springs, FL 33406-7667

Mailing address

2324 S Congress Ave Ste 1a
Palm Springs, FL 33406-7667
Phone (561) 408-0903

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1821564816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 S CONGRESS AVE STE 1A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067667",
            "telephone_number": "561-408-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 S CONGRESS AVE STE 1A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067667",
            "telephone_number": "561-408-0903",
            "fax_number": "561-408-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "561-317-1872"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.