MR. RICHARD ALAN BANTON (DPT, ATC) – Physical Therapist, NPI 1164504601

MR. RICHARD ALAN BANTON (DPT, ATC) is a healthcare provider. based in Reston, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, ATC. They hold a License No. 2305006492 (VA). The NPI Number for MR. RICHARD ALAN BANTON (DPT, ATC) is 1164504601

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. RICHARD ALAN BANTON (DPT, ATC)
NPI
1164504601
Phone
(703) 967-8474
Address
12019 CANTER LN
Enumeration Date
20 October 2006
Last Update Date
26 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5714987752
Graduation Year
1998 (28 years ago)
PAC ID
9335198985
Group Practice PAC ID
8426440421
Professional Enrollment ID
I20050120000774
Address ID
VA201477606AS19775PLZX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for MR. RICHARD ALAN BANTON (DPT, ATC)

  • 12019 CANTER LN

    RESTON, VA 201912129

    Phone: (703) 967-8474

    Type: Mailing

  • Reston International Center, 11800, Sunrise Valley Drive, Sunset Hills, Reston, Fairfax County, Virginia, 20191, United States

    100

    RESTON, VA 20191

    Phone: (703) 709-1116

    Fax: (703) 709-5134

    Type: Location

  • 2509, Fauquier Lane, Reston, Fairfax County, Virginia, 20191, United States

    RESTON, VA 201914215

    Phone: (703) 476-4932

    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: 2008-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050120000774IPhysical Therapist In Private PracticeVATBD
I20080925000464IPhysical Therapist In Private PracticeDCTBD

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 minutes69747$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes43144$0
97530Therapy procedure using functional activities38532$0
97162Evaluation for physical therapy, typically 30 minutes4139$0
View full utilization report →

Insurance plans in this area (ZIP 20191)

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Provider's Procedures

MR. RICHARD ALAN BANTON (DPT, ATC) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYVA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes45240

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: 8426440421View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeDE
Physical Therapist In Private PracticeVA
Occupational Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

Is there an official ID for MR. RICHARD ALAN BANTON (DPT, ATC) in U.S. healthcare records?
The official identifier for MR. RICHARD ALAN BANTON (DPT, ATC) is NPI 1164504601.
Would MR. RICHARD ALAN BANTON (DPT, ATC) appear as active to a payer?
You can treat MR. RICHARD ALAN BANTON (DPT, ATC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MR. RICHARD ALAN BANTON (DPT, ATC)'s focus?
For MR. RICHARD ALAN BANTON (DPT, ATC), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. RICHARD ALAN BANTON (DPT, ATC)?
Travel planning: use Reston, Virginia as the reference point for MR. RICHARD ALAN BANTON (DPT, ATC), then confirm.
When was this NPI issued?
Enumeration for MR. RICHARD ALAN BANTON (DPT, ATC) is noted as October 20, 2006 where the registry provides it.

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