HOLLY M BANARK (DPT) – Physical Therapist, NPI 1215647300

HOLLY M BANARK (DPT) is a healthcare provider. based in Oak brook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. CP042805T (IA). The NPI Number for HOLLY M BANARK (DPT) is 1215647300

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY M BANARK (DPT)
NPI
1215647300
Phone
(630) 575-6250
Address
2122 YORK RD STE 300
Enumeration Date
29 November 2022
Last Update Date
31 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4029348688
Graduation Year
2022 (4 years ago)
PAC ID
6204205065
Group Practice PAC ID
3072613421
Professional Enrollment ID
I20250409003275
Address ID
NE681541935OM625XXAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:3State licenses:3Digital endpointsOther names

1,541 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for HOLLY M BANARK (DPT)

  • 2122 YORK RD STE 300

    OAK BROOK, IL 605231925

    Phone: (630) 575-6250

    Type: Mailing

  • 2937 S BRENTWOOD BLVD

    BRENTWOOD, MO 631442713

    Phone: (314) 961-3804

    Fax: (314) 961-1147

    Type: Location

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: 2025-04-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20221217000164IPhysical Therapist In Private PracticeMOTBD
I20250409003067IPhysical Therapist In Private PracticeIATBD
I20250409003275IPhysical Therapist In Private PracticeNETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities51943$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes30839$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29039$0
97140Therapy procedure using manual technique, each 15 minutes7217$0
97162Evaluation for physical therapy, typically 30 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 60523)

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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: 3072613421View full group profile
NameSpecialtyState
-NE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

Can I verify HOLLY M BANARK (DPT) with an NPI only?
You can start verification with NPI 1215647300 for HOLLY M BANARK (DPT), then check state licensing separately.
Can I rely on HOLLY M BANARK (DPT) being an active provider?
As of the registry snapshot, HOLLY M BANARK (DPT) is marked active.
What is HOLLY M BANARK (DPT) best known for clinically?
Directory data describes HOLLY M BANARK (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for HOLLY M BANARK (DPT)?
HOLLY M BANARK (DPT)'s geographic hint is Oak Brook, Illinois in our summary view.
Is the information about HOLLY M BANARK (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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