Mr Richard Alan Banton, DPT, ATC | |
12019 Canter Ln, Reston, VA 20191-2129 | |
(703) 967-8474 | |
Not Available |
Full Name | Mr Richard Alan Banton |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 27 Years |
Location | 12019 Canter Ln, Reston, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164504601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305006492 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Infinity Performance Pt Plc | 8426440421 | 5 |
Infinity Performance Pt Plc | 8426440421 | 5 |
Provider Name | Infinity Performance Pt Plc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427718006 PECOS PAC ID: 8426440421 Enrollment ID: O20220125002471 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Alan Banton, DPT, ATC 12019 Canter Ln, Reston, VA 20191-2129 Ph: (703) 967-8474 | Mr Richard Alan Banton, DPT, ATC 12019 Canter Ln, Reston, VA 20191-2129 Ph: (703) 967-8474 |
Mrs. Nancy Paula Krall, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Cameron Glen Dr, Reston, VA 20190 Phone: 703-834-5950 | |
Gabrielle Pham-che, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1860 Town Center Dr, Reston, VA 20190 Phone: 703-483-4684 | |
Gemma Leonard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11800 Sunrise Valley Dr, Reston, VA 20191 Phone: 703-709-1118 | |
Mr. Hugh William Mcgee Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, 403, Reston, VA 20190 Phone: 703-736-2806 Fax: 703-736-1677 | |
Carly Fuller, PT DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1760 Reston Pkwy Ste 403, Reston, VA 20190 Phone: 703-230-1760 Fax: 702-230-1761 | |
Natalie Colleen Burnett Drummond, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1860 Town Center Dr, Suite 300, Reston, VA 20190 Phone: 703-483-4650 Fax: 703-787-6575 | |
Peak Performance Physical Therapy, Plc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11301 Sunset Hills Rd, Suite A3, Reston, VA 20190 Phone: 703-473-1515 Fax: 703-473-8333 |