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

Stacey Marie Banes, PTA

Individual provider Physical Therapy Assistant · NPI 1063076131

Stacey Marie Banes, PTA is a Physical Therapy Assistant in Phoenix, Arizona. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

7540 N 19th Ave Ste 200
Phoenix, AZ 85021-7967
Phone: (888) 873-4221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 Prospector Ave, Durango, CO 81301-7940 — (970) 828-1414

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA.0014580 (CO)

Record details

NPI number1063076131
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 24, 2019
Last updated in NPPESApril 24, 2019

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