Doctor Name: | MR. JAMES MATTHEW BANIEWICZ |
NPI Number: | 1548376692 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, OCS, CERT. MDT |
License Number: | PT-007232-L |
Business Practice Address: | 770 Newtown Yardley Rd Suite 210 Newtown, PA - 189401748 |
Business Phone Number: | 2158607031 |
Business Fax Number: | 2158605704 |
Mailing Address: | 770 Newtown Yardley Rd, Suite 210 NEWTOWN |
State: | PA |
Postal Code: | 189401748 |
Phone Number: | 2158607031 |
Fax Number: | 2158605704 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 12/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-007232-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |