BRADLEY ALLAN BANAS (PT) – Physical Therapist, NPI 1164097697

BRADLEY ALLAN BANAS (PT) is a healthcare provider. based in Rochester hills, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501019953 (MI). The NPI Number for BRADLEY ALLAN BANAS (PT) is 1164097697

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY ALLAN BANAS (PT)
NPI
1164097697
Phone
(248) 601-9207
Address
1773 STAR BATT DR
Enumeration Date
26 May 2021
Last Update Date
26 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2482893584
Graduation Year
2020 (6 years ago)
PAC ID
4183026925
Group Practice PAC ID
5698847044
Professional Enrollment ID
I20210715002352
Address ID
MI483093600RO2226XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for BRADLEY ALLAN BANAS (PT)

  • 1773 STAR BATT DR

    ROCHESTER HILLS, MI 483093708

    Phone: (248) 601-9207

    Type: Mailing

  • 2226 CROOKS RD

    ROCHESTER HILLS, MI 48309

    Phone: (248) 289-3584

    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: 2021-07-15

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
I20210715002352IPhysical Therapist In Private PracticeMITBD

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
97140Therapy procedure using manual technique, each 15 minutes1,656103$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,573103$0
97530Therapy procedure using functional activities1,560104$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,386100$0
97535Training for self-care or home management, each 15 minutes31984$0
View full utilization report →

Insurance plans in this area (ZIP 48309)

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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: 5698847044View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL
-MI
Physical Therapist In Private PracticeMI
-MI

Reviews

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Frequently asked questions

How do I look up BRADLEY ALLAN BANAS (PT) by NPI?
Use NPI 1164097697 when you need to reference BRADLEY ALLAN BANAS (PT) in forms, claims, or directories.
Is BRADLEY ALLAN BANAS (PT) currently active in the NPI registry?
CMS-published data lists BRADLEY ALLAN BANAS (PT) as an active registrant.
Does BRADLEY ALLAN BANAS (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for BRADLEY ALLAN BANAS (PT). Clinical services aligned with this taxonomy classification.
What location metadata exists for BRADLEY ALLAN BANAS (PT)?
The page summarizes Rochester Hills, Michigan for BRADLEY ALLAN BANAS (PT); expand the address list for detail.
How can I contact BRADLEY ALLAN BANAS (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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