Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Smr Banyan Tree, Inc

Organization Physical Therapist · NPI 1093744658

Smr Banyan Tree, Inc is a Physical Therapist in Columbus, Ohio. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4930 W Broad St Ste 2
Columbus, OH 43228-1696
Phone: (614) 878-1634
Fax: (614) 878-1746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1093744658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Tarvin — Vice President & Secretary · (717) 972-1100
NPI enumeratedJuly 3, 2006
Last updated in NPPESNovember 21, 2018
Mailing address4714 Gettysburg Road, Legal Dept, Mechanicsburg, PA 17055-4325

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