Individual provider Active NPI

Timothy Patrick Banish Sr., COTA

  • Occupational Therapy Assistant
  • Cincinnati, OH
National Provider Identifier
1831387406
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA02490 Issued in OH
Practice address
8650 Governors Hill Dr
Suite 180
Cincinnati, OH 45249-1372
Phone
(866) 791-5766
Fax
(513) 683-1500
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA02490 OH Primary

Addresses

Primary practice location

8650 Governors Hill Dr
Suite 180
Cincinnati, OH 45249-1372

Mailing address

1610 Bruce Ave
Cincinnati, OH 45223-2002
Phone (513) 542-6847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTA02490OHMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1831387406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 BRUCE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452232002",
            "telephone_number": "513-542-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 GOVERNORS HILL DR",
            "address_2": "SUITE 180",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491372",
            "telephone_number": "866-791-5766",
            "fax_number": "513-683-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANISH",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA02490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.