KATHERINE J BANNON DPT
NPI 1114306974
Physical Therapist in Tuba City, AZ
About Katherine J Bannon Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE J BANNON DPT (NPI 1114306974) is an individual physical therapist in Tuba City, Arizona, licensed in Delaware (J10002847) and active in the NPI registry since May 2015. She is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katherine J Bannon Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Katherine Bannon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tuba City, AZ 86045
- Reassigned Medicare billing, Texas enrollment
- 540 clinicians in this Medicare group
Prescott, AZ 86303
- Reassigned Medicare billing, Arizona enrollment
- 52 clinicians in this Medicare group
Peridot, AZ 85542
- Reassigned Medicare billing, Texas enrollment
- 438 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUBA CITY, AZ 86045
TUBA CITY, AZ 86045
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 Katherine Bannon's NPI number?
The NPI number for Katherine Bannon is 1114306974. It was assigned to this individual provider in the NPPES registry on May 27, 2015.
Where is Katherine Bannon located?
Katherine Bannon practices at 167 N. Main Street, Tuba City, AZ 86045. The listed phone number is (928) 283-2501.
What is Katherine Bannon's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Katherine Bannon enrolled in Medicare?
Yes. Katherine Bannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Katherine Bannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Bannon reassigns Medicare benefits to 3 organizations: Tuba City Regional Health Care Corporation (Tuba City, AZ), Fox Rehabilitation Services Az LLC (Prescott, AZ) and San Carlos Apache Healthcare Corporation (Peridot, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Bannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katherine Bannon was last updated on May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.