DR. TYSON KENTON BANNER DPT
NPI 1366212177
Physical Therapist in St George, UT
About Dr. Tyson Kenton Banner Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYSON KENTON BANNER DPT (NPI 1366212177) is an individual physical therapist in St George, Utah, licensed in Utah (13744522-2401) and active in the NPI registry since January 2024. He is a graduate of Other (2023).
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.
Accepted Insurance
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
Dr. Tyson Kenton Banner 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 Reassignment
Medicare enrollment records show Tyson Banner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cedar City, UT 84720
- Reassigned Medicare billing, Utah enrollment
- 8 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.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84790 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tyson Banner's NPI number?
The NPI number for Tyson Banner is 1366212177. It was assigned to this individual provider in the NPPES registry on January 3, 2024.
Where is Tyson Banner located?
Tyson Banner practices at 1490 E Foremaster Dr Ste 110, St George, UT 84790. The listed phone number is (435) 288-2242.
What is Tyson Banner's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Tyson Banner enrolled in Medicare?
Yes. Tyson Banner 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 organization bills Medicare for Tyson Banner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyson Banner reassigns Medicare benefits to Elevate Physical Therapy PLLC (Cedar City, UT). The 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 Tyson Banner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyson Banner accept?
Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Tyson Banner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tyson Banner was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.