| Gregory Banks, | |
|
4710 Puddledock Rd, Ste 100, Prince George, VA 23875-1269 | |
| (804) 732-0035 | |
| (804) 732-0045 |
| Full Name | Gregory Banks |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4710 Puddledock Rd, Prince George, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396299236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305210556 (Virginia) | Primary |
| Provider Name | Mvpt, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417260209 PECOS PAC ID: 1759570708 Enrollment ID: O20110106000944 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Banks, 1115 Boulders Pkwy, Ste 200, North Chesterfield, VA 23225-4067 Ph: (804) 560-5595 | Gregory Banks, 4710 Puddledock Rd, Ste 100, Prince George, VA 23875-1269 Ph: (804) 732-0035 |
Shannon Schilstra, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-732-0095 | |
Mr. Robert Alexander Lehner, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4710 Puddledock Rd, Suite 100, Prince George, VA 23875 Phone: 804-732-0035 Fax: 804-732-0045 | |
Evelyn Ann Koon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-732-0095 Fax: 804-732-0045 | |
Susan M. Powroznik, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-732-0035 Fax: 804-287-2786 | |
Mr. Seamus Dylan Lynch, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-285-2645 | |
Yoon Kong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-732-0035 Fax: 804-732-0045 | |
Lauren Jones, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4710 Puddledock Rd, Suite 100, Prince George, VA 23875 Phone: 804-732-0035 Fax: 804-732-0045 |