Daniel Bankson, P.T.
Individual provider Active NPI Physical Therapist · Fairmont, MN
NPI 1851585533 · NPPES record last updated May 30, 2008
Key facts
- NPI
- 1851585533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4879 (MN)
- Practice address
- 717 S State St
Suite 900
Fairmont, MN 56031-4469 - Phone
- (507) 238-4949
- Fax
- (507) 238-3377
- NPI assigned
- Sep 5, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4879 | MN | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4879 | MN | Yes |
Addresses
Primary practice location
717 S State St
Suite 900
Fairmont, MN 56031-4469
Mailing address
717 S State St
Suite 900
Fairmont, MN 56031-4469
Phone (507) 238-4949
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62619 | Other | SANFORD HEALTH | |
| 096N3BA | Other | MN | BLUE CROSS BLUE SHIELD |
| 18725 | Other | AVERA | |
| 974311051596 | Other | PREFERREDONE | |
| 490047000 | Medicaid | MN |
Other providers in Fairmont, MN
- Robin Arndorfer
- Associate Optometry, P.a.
- Astrup Drug Inc
- Astrup Drug Inc
- Timothy Bachenberg
- Nicole Marie Behrens
- Craig Bergh
- Perry Berhow
- Stephen Otto Berthelsen
- Jenna Mae Blanchard
All providers in Fairmont, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.