| Blake Ariel Banner, PT | |
|
2950 Donnell Dr Ste G, Forestville, MD 20747-3277 | |
| (240) 492-3410 | |
| (301) 278-9852 |
| Full Name | Blake Ariel Banner |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2950 Donnell Dr Ste G, Forestville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942770342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 27579 (Maryland) | Primary |
| 225100000X | Physical Therapist | 8694 (South Carolina) | Secondary |
| Provider Name | Athletic And Therapeutic Institute Of Naperville, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Ariel Banner, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Blake Ariel Banner, PT 2950 Donnell Dr Ste G, Forestville, MD 20747-3277 Ph: (240) 492-3410 |
Mr. Jonniel Marquez Estrella, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Donnell Dr Ste G, Forestville, MD 20747 Phone: 866-370-8206 | |
Danielle Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7500 Marlboro Pike Ste A, Forestville, MD 20747 Phone: 301-238-4723 | |
Ms. Lauren Hallie Collins, M.P.T., C.L.T.-LANA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7610 Pennsylvania Ave Ste 305, 7525 Greenway Center Drive, Ste216, Greenbelt, Md 20770, Forestville, MD 20747 Phone: 313-550-6367 Fax: 301-669-1873 | |
Vincent Harrison, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2950 Donnell Dr Ste G, Forestville, MD 20747 Phone: 240-492-3410 Fax: 301-278-9852 | |
Makeshia Lucien, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7500 Marlboro Pike Ste A, Forestville, MD 20747 Phone: 301-238-4723 | |
Dr. Aderonke M M Abassi, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7420 Marlboro Pike, Forestville, MD 20747 Phone: 301-736-0240 Fax: 301-736-9366 | |
Karen Guyguyon Peralta, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Donnell Dr Ste G, Forestville, MD 20747 Phone: 240-492-3410 Fax: 301-278-9852 |