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

Dr. Tyson Kenton Banner, DPT

Individual provider Physical Therapist · NPI 1366212177

Dr. Tyson Kenton Banner, DPT is a Physical Therapist in Private Practice in St George, Utah. Qualified in 2023, 3 years ago. Practices with Elevate Physical Therapy PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1490 E Foremaster Dr Ste 110
St George, UT 84790-4492
Phone: (435) 288-2242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13744522-2401 (UT)

Record details

NPI number1366212177
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 3, 2024
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Elevate Physical Therapy Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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