MR. CARLOS BANNISTER MPT
NPI 1548797699
Physical Therapist - Geriatrics in Pfafftown, NC

Q: What is Carlos Bannister's NPI number?

The NPI number for Carlos Bannister is 1548797699. It was assigned to this individual provider in the NPPES registry on May 19, 2017.

Q: What is Carlos Bannister's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Bannister was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 19, 2017

5908 PEACEFUL GLEN DR, PFAFFTOWN, NC 27040(336) 287-7941(336) 287-7941 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, May 19, 2017 (2 updates tracked since 2017).

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About Mr. Carlos Bannister Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CARLOS BANNISTER MPT (NPI 1548797699) is an individual geriatrics provider in Pfafftown, North Carolina, licensed in North Carolina (12879) and active in the NPI registry since May 2017. He maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1548797699

Entity TypeIndividualMale

Primary Taxonomy2251G0304X

Provider Legal NameMR. CARLOS BANNISTERCredential: MPT

Location Address5908 PEACEFUL GLEN DRPfafftown, NC 27040-9300

Mailing Address5908 Peaceful Glen DrPfafftown, NC 27040-9300 · (336) 287-7941

Phone(336) 287-7941

Fax(336) 287-7941

Sole ProprietorYes

Enumeration DateMay 19, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1548797699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in NC · 12879

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

5908 PEACEFUL GLEN DR, Pfafftown, NC 27040

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Secondary Practice Location 1

Location 12000 Salemtowne DrWinston Salem, NC 27106-3794 · Phone (336) 767-8130

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Carlos Bannister Mpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Carlos Bannister reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

At Home By Enhance Therapies LLC

432 mi

Physical Therapist

400 NJ-70, UNIT 1
Lakewood, NJ 08701

Reassigned Medicare billing, North Carolina enrollment
4 clinicians in this Medicare group

NPI 1124603246 (732) 987-3833

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Carlos Bannister's NPI number?

The NPI number for Carlos Bannister is 1548797699. It was assigned to this individual provider in the NPPES registry on May 19, 2017.

Where is Carlos Bannister located?

Carlos Bannister practices at 5908 Peaceful Glen Dr, Pfafftown, NC 27040. The listed phone number is (336) 287-7941.

What is Carlos Bannister's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is Carlos Bannister enrolled in Medicare?

Yes. Carlos Bannister is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlos Bannister's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Bannister reassigns Medicare benefits to At Home By Enhance Therapies LLC (Lakewood, NJ). 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 Carlos Bannister'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 Carlos Bannister was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.