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

Michael Banome

Individual provider Physical Therapist · NPI 1659737393

Michael Banome is a Physical Therapist in Private Practice in Bayside, New York. Qualified in 2015, 11 years ago. Practices with Advance Physical Therapy PC, a 10-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

2812 201st St
Bayside, NY 11360-2321
Phone: (347) 804-4956
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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 039757-1 (NY)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1659737393
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 11, 2016
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020
Mailing address2812 201st St, Bayside, NY 11360-2321

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Advance Physical Therapy Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bayside