Travis Banks, OTR/L
Individual provider Active NPI Occupational Therapist · Layton, UT
NPI 1992287221 · NPPES record last updated Sep 4, 2018
Key facts
- NPI
- 1992287221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 10962470-4201 (UT)
- Practice address
- 1992 W Antelope Dr Ste 1D
Layton, UT 84041-4974 - Phone
- (801) 773-2633
- NPI assigned
- Sep 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 10962470-4201 | UT | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 10962470-4201 | UT | Yes |
Addresses
Primary practice location
1992 W Antelope Dr Ste 1D
Layton, UT 84041-4974
Mailing address
3681 S 2000 E Apt 2
Salt Lake City, UT 84109-4319
Phone (435) 659-7552
Other providers in Layton, UT
- Nathaniel Roy Ballam
- Richard Grant Ballam
- Shaylin Ballard
- Emily Dawn Bankhead
- Brenda Banks
- Barbara Morrell Hughes PC
- Beth Bareng
- Alexis Barker
- Layne T Barker
- Maria J Barker
All providers in Layton, UT · Occupational Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2018. 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.