Individual provider Active NPI

Brian Scott Banh, DPT

  • Orthopedic Physical Therapist
  • Irvine, CA
National Provider Identifier
1841837846
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT297578 Issued in CA
Practice address
15775 Laguna Canyon Rd Ste 110
Irvine, CA 92618-3192
Phone
(949) 333-3833
NPI assigned
Dec 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT297578 CA Primary

Addresses

Primary practice location

15775 Laguna Canyon Rd Ste 110
Irvine, CA 92618-3192

Mailing address

15775 Laguna Canyon Rd Ste 110
Irvine, CA 92618-3192
Phone (949) 333-3833

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Irvine

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200203002018 CA Practitioner - Physical Therapist in Private Practice 6305272790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restorative Therapy AssociatesGroup PAC ID 3072782705, 7 clinicians

Practice addresses (Care Compare)

101 Pacifica
Suite 270
Irvine, CA 92618-7338
Phone (949) 333-3833

23601 Moulton Pkwy
Suite 221
Laguna Hills, CA 92653-1979
Phone (949) 528-6287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT297578CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Therapy Associates Orthopedic CurrentSince Jan 2, 2020 Accepting new patients

Locations

101 Pacifica
Ste 270
Irvine, CA 92618
Phone (949) 333-3833

15775 Laguna Canyon Rd
Ste 110
Irvine, CA 92618
Phone (714) 500-8388

23521 Paseo de Valencia
Ste 110
Laguna Hills, CA 92653
Phone (949) 333-3833

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1841837846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183192",
            "telephone_number": "949-333-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183192",
            "telephone_number": "949-333-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANH",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT297578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Irvine",
            "affiliation": "N",
            "address_1": "15775 Laguna Canyon Rd Ste 110",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926183192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.