Stacie Banzon
NPI 1386247336ActiveIndividual· Physical Therapist· Dunbar, WV
Physical Therapist with Dunbar Physical Therapy LLC, practicing in Dunbar, West Virginia. Medicare paid $30,968 for services to 25 patients in 2024.
Overview
| NPI | 1386247336 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 20, 2020 |
| Last updated in NPPES | Nov 20, 2020 |
| Certified by provider | Nov 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 1,670 across 7 procedure codes |
| Paid by Medicare | $30,968 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Dunbar Physical Therapy LLCDunbar, WV · 3 clinicians
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