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

Amy Q Banaga, PT

Individual provider Specialist · NPI 1780889170

Amy Q Banaga, PT is a Physical Therapist in Private Practice in Clark, New Jersey. Qualified in 2001, 25 years ago. Practices with East Coast Rehabilitation Services LLC, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
25
Licensed in
NJ
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

26 Haliday St
Clark, NJ 07066-1833
Phone: (201) 486-5795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 40QA01173600 (NJ)

Record details

NPI number1780889170
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 18, 2007
Last updated in NPPESOctober 5, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice East Coast Rehabilitation Services Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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