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

Stacie Banzon

Individual provider Physical Therapist · NPI 1386247336

Stacie Banzon is a Physical Therapist in Private Practice in Dunbar, West Virginia. Qualified in 2020, 6 years ago. Practices with Dunbar Physical Therapy LLC, a 3-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
6
Licensed in
WV
In the registry since
2020
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Practice location Address checks out

1145 Dunbar Ave
Dunbar, WV 25064-2506
Phone: (304) 400-4896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (WV)

Record details

NPI number1386247336
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 20, 2020
Last updated in NPPESNovember 20, 2020
Certification dateNovember 13, 2020
Mailing addressPo Box 398, Salt Rock, WV 25559-0398

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dunbar Physical Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dunbar