TODD ROBERT BANKS (OTR/L) – Occupational Therapist, NPI 1114560067

TODD ROBERT BANKS (OTR/L) is a healthcare provider. based in Burley, Idaho. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. OT-2133 (ID). The NPI Number for TODD ROBERT BANKS (OTR/L) is 1114560067

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
TODD ROBERT BANKS (OTR/L)
NPI
1114560067
Phone
(208) 647-0184
Address
224 East Main St
Enumeration Date
23 October 2019
Last Update Date
23 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012822200
Graduation Year
2019 (7 years ago)
PAC ID
2860824398
Group Practice PAC ID
9234048745
Professional Enrollment ID
I20250902000272
Address ID
UT840889013WE1227X9000301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID

Provider Addresses for TODD ROBERT BANKS (OTR/L)

  • 224 East Main St

    Burley, ID 83318

    Phone: (208) 647-0184

    Type: Location

  • 254 RIVER VISTA PL

    TWIN FALLS, ID 833013006

    Phone: (208) 734-7333

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250902000272IPhysical Therapist In Private PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83318)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234048745View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

What is the registry number for TODD ROBERT BANKS (OTR/L)?
The registry entry for TODD ROBERT BANKS (OTR/L) shows NPI 1114560067.
Should I treat TODD ROBERT BANKS (OTR/L) as an active provider?
Patients and plans typically see TODD ROBERT BANKS (OTR/L) as active in the national extract.
What services align with TODD ROBERT BANKS (OTR/L)'s listing?
TODD ROBERT BANKS (OTR/L)'s public classification highlights Occupational Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TODD ROBERT BANKS (OTR/L)?
TODD ROBERT BANKS (OTR/L) is associated with Burley, Idaho in the same public data insurers reference.
Who maintains TODD ROBERT BANKS (OTR/L)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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