KELLEY J BANNERMAN PTA
NPI 1073307005
Physical Therapy Assistant in The Villages, FL
About Kelley J Bannerman Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY J BANNERMAN PTA (NPI 1073307005) is an individual physical therapy assistant in The Villages, Florida, licensed in Florida (PTA29214) and active in the NPI registry since April 2025.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelley Bannerman's NPI number?
The NPI number for Kelley Bannerman is 1073307005. It was assigned to this individual provider in the NPPES registry on April 7, 2025.
Where is Kelley Bannerman located?
Kelley Bannerman practices at 768 Huey Ln, The Villages, FL 32162. The listed phone number is (585) 429-0603.
What is Kelley Bannerman's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Kelley Bannerman was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.