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

Joel Bannister, PTA

Individual provider Physical Therapy Assistant · NPI 1154754455

Joel Bannister, PTA is a Physical Therapy Assistant in Stafford, Virginia. Licensed in Virginia. Registered with an NPI since 2013.

Licensed in
VA
In the registry since
2013
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2777 Jefferson Davis Hwy Ste 109
Stafford, VA 22554-8323
Phone: (540) 318-8615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306603662 (VA)

Record details

NPI number1154754455
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 10, 2013
Last updated in NPPESAugust 10, 2013

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