Banyan Integrative Health Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BANYAN INTEGRATIVE HEALTH SERVICES, LLC

Practice address

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

Phone

(561) 408-0903

Fax

(561) 408-0905

NPI assigned

Nov 12, 2020

Last updated

Dec 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fernando Miranda, PTNPI 1861531956

Title

Ceo

Phone

(561) 317-1872

Specialties & licenses 4

Addresses

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.

• Fernando Miranda, RPT

  • Physical Therapist
  • Lake Worth, FL
  • NPI 1861531956
  NPD Authorized official

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1821690066",
    "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",
            "fax_number": "561-408-0905"
        },
        {
            "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 INTEGRATIVE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-317-1872",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Baker, PHARMD
• Leah C Baker
• Balance and Restoration Inc
• Ralph James Banks, IMH20228
• Banyan Acupuncture, Inc
• Banyan Physical Therapy
• Avantis Baptiste
• Yenilet Barata Lopez
• Marie Carmel Barosy, ARNP
• Maylen Barreiro Sarduy

• Physical Therapist in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.