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Mary Jacqueline Banning, PT

NPI 1386115681ActiveIndividual· Physical Therapist· Southbury, CT

Physical Therapist (PT) in Southbury, Connecticut, licensed in CT, with an NPI issued in December 2018.

Overview

NPI1386115681
StatusActive
Entity typeIndividual
CredentialPT
Sole proprietorNo
NPI issuedDec 12, 2018
Last updated in NPPESDec 12, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X9495CT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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