MR. KRAIG Y BANO (NPI# 1558376434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558376434 |
| Entity Type | Individual |
| Full Name | MR. KRAIG Y BANO |
| Credential | MPT CHT |
| Practice Address |
9475 Roosevelt Blvd Philadelphia PA 19114-2212 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 2154646200 |
| Practice Fax Number | 2154649834 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2013-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251H1200X |
Physical Therapist Specialization: Hand |
PT011023L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAREFIRST | 61809102 | 01 | |
| PABS | 1667747 | 01 | |
| DE | 1000037582 | 05 | |
| IBC | 234323000 | 01 | |
| CARE FIRST | 5070-0003 | 01 |
| Street Address |
9475 ROOSEVELT BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784740 | Susan E Weidman | Physical Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2005-10-13 |
| 1053935908 | Jessica T. Do | Optometrist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2020-06-05 |
| 1912488784 | Staci Drybala | Occupational Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2018-08-28 |
| 1053821108 | Caitlyn Blair | Specialist/Technologist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2017-10-03 |
| 1750809018 | Rada Whyne | Occupational Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2017-09-06 |
| 1083166425 | Katherine Currie | Physical Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2016-11-02 |
| 1609324672 | Emily Carangelo | Speech-Language Pathologist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2016-09-19 |
| 1235687609 | Puja Desai | Physical Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2016-09-14 |
| 1053867713 | Namrataben Patel | Physical Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2016-08-31 |
| 1558717355 | Dorian Billow | Occupational Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2016-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| Taxonomy Code | 2251H1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992938096 | Maryjane Fedorczyk | Physical Therapist | 245 N 15th St, Mail Stop 502, Philadelphia, PA 19102-1101 | 2009-08-24 |
| 1689711616 | The Philadelphia Hand Center, PC | Physical Therapist | 834 Chestnut St, Suite G114, Philadelphia, PA 19107-5127 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437190097 | Andrea Marie White | Physical Therapist | 501 W. Macdade Blvd, 2nd Floor, Folsom, PA 19033-3224 | 2006-06-08 |
| 1518968973 | Laura Brovender-fisher | Physical Therapist | 500 Welsh Rd, Huntingdon Valley, PA 19006-6427 | 2005-08-09 |
| 1710178215 | Pjb Therapy Services LLC | Physical Therapist | 1145 Bower Hill Rd, Suite 203, Pittsburgh, PA 15243-1342 | 2007-08-08 |
| 1639397706 | Jill K. Townsend | Physical Therapist | 915 Old Fern Hill Rd, Suite 4, West Chester, PA 19380-4269 | 2007-04-23 |
| 1427124320 | Elaine F. Barch | Physical Therapist | 101 Regent Ct, State College, PA 16801-7965 | 2006-11-24 |
| 1326146226 | Main Line Hand Center LLC | Physical Therapist | 250 W Lancaster Ave, Suite 205, Paoli, PA 19301-1743 | 2006-09-21 |
| 1609985001 | Deborah A Humbert | Physical Therapist | 1068 W Baltimore Pike, Lobby Level, Media, PA 19063-5104 | 2006-08-30 |
| 1912916057 | Jyoti Raju Naidu | Physical Therapist | 235 W Lancaster Ave, Suite 100, Devon, PA 19333-1560 | 2006-08-07 |
| 1316969348 | Kimberly L Smith | Physical Therapist | 102 W Walnut St, North Wales, PA 19454-3319 | 2006-07-25 |
| 1770533754 | Carla A Crosby | Physical Therapist | 101 S Bryn Mawr Ave, Suite 300, Bryn Mawr, PA 19010-3120 | 2006-05-11 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
Please comment or provide details below to improve the information on MR. KRAIG Y BANO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.