Active NPI
Diane B Banyard, M P.T.
- Physical Therapist
- Roanoke, VA
National Provider Identifier
1992834410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305203035
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305203035 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Physical Therapist
- Roanoke, VA
- NPI 1568568574
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- Physical Therapist
- Roanoke, VA
- NPI 1295831113
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- Physical Therapist
- Roanoke, VA
- NPI 1720184732
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.