Rellie Bansil, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 30893 Issued in FL

Practice address

11602 Lake Underhill Rd
Ste 129
Orlando, FL 32825-4458

Phone

(407) 277-5400

NPI assigned

Nov 6, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478390400000",
    "number": "1912449117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 ISELLE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277132",
            "telephone_number": "936-229-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 LAKE UNDERHILL RD",
            "address_2": "STE 129",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254458",
            "telephone_number": "407-277-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSIL",
        "first_name": "RELLIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-06",
        "last_updated": "2016-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 30893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXAMINING BOARD OF PHYSICAL THERAPISTS AND ATHLETIC TRAINERS",
            "identifier": "J1-0003075",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF PHYSICAL THERAPY",
            "identifier": "PT 30893",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amit B Bansal, M.D.
• Rachita Bansal, MD
• Sanya Bansal
• Sonam Bansal
• Evelynn Cuenco Bansil, PT
• Katalina Belen Banuelos
• Melissa Lynn Banuelos, MS, SLP
• Alex Yang Bao, DPT
• Nicole Marissa Fischer Baptista, DO
• Andre Ben Baptiste, D.D.S.

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2016; 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.