KATHERINE J BANNON DPT
NPI 1114306974
Physical Therapist in Tuba City, AZ

Active since May 27, 2015Accepts Medicare Assignment
167 N. MAIN STREET, TUBA CITY, AZ 86045(928) 283-2501(928) 283-2677 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1114306974
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKATHERINE J BANNONCredential: DPT
Location Address167 N. MAIN STREETTuba City, AZ 86045-0600
Mailing AddressPo Box 600Tuba City, AZ 86045-0600 · (928) 283-2501 · Fax (928) 283-2677
Fax(928) 283-2677
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 27, 2015
✔ NPI 1114306974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in DE · J10002847
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
167 N. MAIN STREET, Tuba City, AZ 86045

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.

PECOS PAC ID7810202488
PECOS Enrollment IDI20260408003247

Medicare Billing Reassignments

3

Medicare 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.

General Acute Care Hospital
167 NORTH MAIN STREET
Tuba City, AZ 86045
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
Physical Therapist
211 BRADSHAW DR
Prescott, AZ 86303
  • Reassigned Medicare billing, Arizona enrollment
  • 52 clinicians in this Medicare group
Critical Access Hospital
103 MEDICINE WAY ROAD
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.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Respiratory Therapist, Registered (General Care)
167 N. MAIN STREET
TUBA CITY, AZ 86045
Nurse Practitioner (Family)
167 N. MAIN STREET
TUBA CITY, AZ 86045
Respiratory Therapist, Registered
167 N. MAIN STREET
TUBA CITY, AZ 86045
Pharmacist
167 N. MAIN STREET
TUBA CITY, AZ 86045
Speech-Language Pathologist
167 N. MAIN STREET
TUBA CITY, AZ 86045
Pharmacist
167 N. MAIN STREET
TUBA CITY, AZ 86045
Technician
167 N. MAIN STREET
TUBA CITY, AZ 86045
Dentist
167 N. MAIN STREET
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.