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

Andrea Jane Banales, PT

Individual provider Physical Therapist · NPI 1740131382

Andrea Jane Banales, PT is a Physical Therapist in Private Practice in Port Hueneme, California. Qualified in 2025, 1 year ago. Practices with Second Wave Physical Therapy Inc, a 25-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2026
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

735 W Channel Islands Blvd
Port Hueneme, CA 93041-2130
Phone: (805) 250-7505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 309639 (CA)

Record details

NPI number1740131382
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 9, 2026
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Second Wave Physical Therapy Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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