Emily Banks, DPT | |
117 Broadway Ste 1, Bangor, ME 04401-5205 | |
(207) 990-0188 | |
Not Available |
Full Name | Emily Banks |
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Gender | Female |
Speciality | Physical Therapist |
Location | 117 Broadway Ste 1, Bangor, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649011032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT6797 (Maine) | Primary |
Provider Name | Back In Motion Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821165960 PECOS PAC ID: 7416926704 Enrollment ID: O20041004000108 |
Mailing Address | Practice Location Address |
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Emily Banks, DPT 625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395 Ph: () - | Emily Banks, DPT 117 Broadway Ste 1, Bangor, ME 04401-5205 Ph: (207) 990-0188 |
Dr. Ian William Bauersfeld, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 277 State St Ste 1b, Bangor, ME 04401 Phone: 207-922-4000 | |
Susan Austin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 Corporate Dr, Suite 2, Bangor, ME 04401 Phone: 207-992-9286 Fax: 207-992-9287 | |
Dr. Richard Adam Sukiennik, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 758 Broadway, Bangor, ME 04401 Phone: 207-941-8400 Fax: 207-990-1745 | |
Pine Tree Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 760 Union St, Bangor, ME 04401 Phone: 207-942-2266 Fax: 207-942-7577 | |
Mrs. Anne J Knowles, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Penn Plz Ste 22, Bangor, ME 04401 Phone: 207-947-8077 Fax: 207-947-3721 | |
Ms. Elissa Madore, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 82 Sylvan Rd, Bangor, ME 04401 Phone: 207-401-4324 Fax: 207-401-4325 | |
Mr. Delany B Wilkes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Stillwater Ave, Bangor, ME 04401 Phone: 207-945-2946 |