| Lori Banfield, PT | |
| 314 S Manning Blvd, Albany, NY 12208-1708 | |
| (518) 453-2273 | |
| Not Available | 
| Full Name | Lori Banfield | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 314 S Manning Blvd, Albany, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1730198490 | NPI | - | NPPES | 
| 00026059 | Medicaid | NY | |
| 10083262 | Other | CDPHP | |
| 371499 | Other | MVP | |
| 83643 | Other | GHIHMO | |
| 000416437001 | Other | BSNENY | |
| Q08A21 | Other | EMPIRE BLUE CROSS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 026059 (New York) | Primary | 
| Provider Name | Prn Physical, Occupational And Speech Therapy Network, Pllc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1336185263 PECOS PAC ID: 5092730788 Enrollment ID: O20051012000029 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lori Banfield, PT 1 Magnolia Cir, Ravena, NY 12143-1723 Ph: (518) 312-3135 | Lori Banfield, PT 314 S Manning Blvd, Albany, NY 12208-1708 Ph: (518) 453-2273 | 
| Jordan Iris Goslowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Watervliet Shaker Rd, Suite 102, Albany, NY 12205 Phone: 518-862-4900 | |
| Yuan Kenneth Jin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 121 Everett Rd Ste 200, Albany, NY 12205 Phone: 518-489-2524 Fax: 518-489-3167 | |
| Penelope M Blasch, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 S Manning Blvd, Albany, NY 12208 Phone: 518-453-2273 | |
| Heather M. Lacasse, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 121 Everett Rd Health Park, Albany, NY 12205 Phone: 518-489-2524 Fax: 518-489-3167 | |
| Marianna Vaysman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 281 Sand Creek Rd, Albany, NY 12205 Phone: 518-459-1292 Fax: 518-459-1296 | |
| Kimberly Silvernail Keane, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 S Manning Blvd, Albany, NY 12208 Phone: 518-453-2273 | |
| Dr. Janel Lena Carver, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Clinton Ave Apt 1, Albany, NY 12210 Phone: 914-299-9514 |