Individual provider Active NPI

Diane B Banyard, M P.T.

  • Physical Therapist
  • Roanoke, VA
National Provider Identifier
1992834410
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203035 Issued in VA
Practice address
7226B Williamson Rd
Roanoke, VA 24019-4264
Phone
(540) 366-9244
Fax
(540) 366-9245
NPI assigned
Mar 2, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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 2305203035 VA Primary

Addresses

Primary practice location

7226B Williamson Rd
Roanoke, VA 24019-4264

Mailing address

PO Box 21604
Roanoke, VA 24018-0162
Phone (540) 725-5300

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305203035VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Orthopedic Rehab of VA Inc Physical Therapist Past Accepting new patients
Spine and Orthopedic Rehab Inc Physical Therapist Past Accepting new patients
Spine and Orthopedic Rehab of VA Inc Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1992834410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21604",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180162",
            "telephone_number": "540-725-5300",
            "fax_number": "540-725-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7226B WILLIAMSON RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194264",
            "telephone_number": "540-366-9244",
            "fax_number": "540-366-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANYARD",
        "first_name": "DIANE",
        "middle_name": "B",
        "credential": "M P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.