Holly M. Banark, DPT
NPI 1215647300ActiveIndividual· Physical Therapist· Brentwood, MO
Physical Therapist (DPT) with Athletico Ltd and 1 other group, practicing in Brentwood, Missouri. Medicare paid $36,786 for services to 62 patients in 2024.
Overview
| NPI | 1215647300 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Nov 29, 2022 |
| Last updated in NPPES | Mar 31, 2025 |
| Certified by provider | Mar 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2022023815 | MO |
| Physical Therapist | 225100000X | CP042805T | IA |
| Physical Therapist | 225100000X | CP042804T | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IA); Practitioner - Physical Therapist in Private Practice (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 1,684 across 11 procedure codes |
| Paid by Medicare | $36,786 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Athletico LtdOttawa, IL · 2,200 clinicians
- Omaha Physical Therapy Institute, PCOmaha, NE · 8 clinicians
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