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

Mr. Richard Alan Banton, DPT, ATC

Individual provider Physical Therapist · NPI 1164504601

Mr. Richard Alan Banton, DPT, ATC is a Physical Therapist in Private Practice in Reston, Virginia. Qualified in 1998, 28 years ago. Practices with Infinity Performance PT PLC, a 9-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
28
Licensed in
VA
In the registry since
2006
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

12019 Canter Ln
Reston, VA 20191-2129
Phone: (703) 967-8474
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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 2305006492 (VA)

Record details

NPI number1164504601
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , ATC
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESDecember 26, 2023
Certification dateDecember 26, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Infinity Performance Pt Plc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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