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

Holly M Banark, DPT

Individual provider Physical Therapist · NPI 1215647300

Holly M Banark, DPT is a Physical Therapist in Private Practice in Brentwood, Missouri. Qualified in 2022, 4 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Iowa, Missouri and Nebraska.

Years since qualifying
4
Licensed in
IA, MO, NE
In the registry since
2022
Specialties on file
3
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

2937 S Brentwood Blvd
Brentwood, MO 63144-2713
Phone: (314) 961-3804
Fax: (314) 961-1147
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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 2022023815 (MO)
Physical Therapist Taxonomy 225100000X · Licence CP042805T (IA)
Physical Therapist Taxonomy 225100000X · Licence CP042804T (NE)

Record details

NPI number1215647300
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 29, 2022
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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