Blake Ariel Banner, PT
Blake Ariel Banner, PT is a Physical Therapist in Private Practice in Forestville, Maryland. Qualified in 2017, 9 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, Indiana and Maryland.
- Years since qualifying
- 9
- Licensed in
- IL, IN, MD
- In the registry since
- 2018
- Specialties on file
- 3
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
Practice location Address checks out
2950 Donnell Dr Ste GForestville, MD 20747-3277
Phone: (240) 492-3410
Fax: (301) 278-9852
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 2875 Crain Hwy Ste 6, Waldorf, MD 20601-2841 — (301) 859-3304
- 200 Patewood Dr Ste C150, Greenville, SC 29615-6323 — (864) 454-0904
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 05015177A (IN) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 070026352 (IL) |
| Physical Therapist | Taxonomy 225100000X · Licence 27579 (MD) |
Record details
| NPI number | 1942770342 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PT |
| Sole proprietor | No |
| NPI enumerated | November 28, 2018 |
| Last updated in NPPES | May 20, 2024 |
| Certification date | May 20, 2024 |
| Mailing address | 790 Remington Blvd, Bolingbrook, IL 60440-4909 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Athletico Ltd — 2186 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Forestville
-
Dr. Aderonke M M Abassi, PHYSICALTHERAPIST
7420 Marlboro Pike, Forestville, MD 20747-4343 · (301) 736-0240
-
Ati Holding LLC
2950 Donnell Dr Ste G, Forestville, MD 20747-3277 · (240) 492-3410
-
Meikel Barnes
2950 Donnell Dr Ste G, Forestville, MD 20747-3277 · (240) 492-3410
-
MS. Lauren Hallie Collins, MPT, CLT-LANA
7610 Pennsylvania Ave Ste 305 7525 Greenway Center Drive STE216 Greenbelt MD 20770, Forestville, MD 20747-4701 · (313) 550-6367
-
Michael Datiles, DPT
2950 Donnell Dr Ste G, Forestville, MD 20747-3277 · (240) 492-3410
-
Mr. Jonniel Marquez Estrella, PT
2950 Donnell Dr Ste G, Forestville, MD 20747-3277 · (866) 370-8206