Active NPI
Brian Scott Banh, DPT
- Orthopedic Physical Therapist
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT297578
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Irvine |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT297578 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restorative Therapy Associates | Orthopedic | Current | 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.