Individual provider Active NPI

John Glenn Bankus, DPT

  • Physical Therapist
  • Scranton, PA
National Provider Identifier
1942832282
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028322 Issued in PA
Practice address
555 Lackawanna Ave
Scranton, PA 18503-2007
Phone
(570) 344-0705
NPI assigned
Feb 5, 2020
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT028322 PA Primary

Addresses

Primary practice location

555 Lackawanna Ave
Scranton, PA 18503-2007

Mailing address

720 Susquehanna Ave
Wyoming, PA 18644-1929
Phone (570) 357-3841

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210628001725 PA Practitioner - Physical Therapist in Private Practice 0143621284 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT028322PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics (SPT), Inc. Physical Therapist CurrentSince Apr 18, 2021 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Apr 18, 2021 Accepting new patients

Locations

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

555 Lackawanna Ave
Scranton, PA 18503
Phone (570) 344-0705

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1942832282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SUSQUEHANNA AVE",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441929",
            "telephone_number": "570-357-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 LACKAWANNA AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185032007",
            "telephone_number": "570-344-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKUS",
        "first_name": "JOHN",
        "middle_name": "GLENN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.