Active NPI
Marianne M Banks, PHYSICAL THERAPIST
- Physical Therapist
- Oak Harbor, WA
National Provider Identifier
1982026332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009573
- Practice address
- 1040 SW Kimball Dr
Oak Harbor, WA 98277-7593 - Phone
- (360) 675-8405
- Fax
- (360) 675-8405
- NPI assigned
- Jan 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00009573 | WA | Primary |
Addresses
Primary practice location
1040 SW Kimball Dr
Oak Harbor, WA 98277-7593
Mailing address
6121 Parkside Dr
Anacortes, WA 98221-4007
Phone (360) 588-8830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00009573 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390089600000",
"number": "1982026332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6121 PARKSIDE DR",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982214007",
"telephone_number": "360-588-8830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 SW KIMBALL DR",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982777593",
"telephone_number": "360-675-8405",
"fax_number": "360-675-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "MARIANNE",
"middle_name": "M",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-19",
"last_updated": "2014-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.