MICHAEL BANOME
NPI 1659737393
Physical Therapist in Bayside, NY

Active since January 11, 2016Accepts Medicare Assignment
2812 201ST ST, BAYSIDE, NY 11360(347) 804-4956 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2020, Jan 24, 2016, Jan 11, 2016 (3 updates tracked since 2016).

About Michael Banome NPPES

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

MICHAEL BANOME (NPI 1659737393) is an individual physical therapist in Bayside, New York, licensed in New York (039757-1) and active in the NPI registry since January 2016. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1659737393
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMICHAEL BANOME
Location Address2812 201ST STBayside, NY 11360-2321
Mailing Address2812 201st StBayside, NY 11360-2321 · (347) 804-4956
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 11, 2016
Last NPPES UpdateNovember 13, 20203 updates tracked since enumeration
NPPES CertifiedNovember 13, 2020
✔ NPI 1659737393 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 NY · 039757-1
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.
2812 201ST ST, Bayside, NY 11360

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

Michael Banome 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 ID9739478223
PECOS Enrollment IDI20160524000275

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Banome reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
1844 2ND AVE
New York, NY 10128
  • Reassigned Medicare billing, New York enrollment
  • 564 clinicians in this Medicare group
Physical Therapist
3728 PARK AVE
Wantagh, NY 11793
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Advance Physical Therapy PC
  • 20 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 11360 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2812 201ST ST
BAYSIDE, NY 11360

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 Michael Banome's NPI number?

The NPI number for Michael Banome is 1659737393. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Where is Michael Banome located?

Michael Banome practices at 2812 201st St, Bayside, NY 11360. The listed phone number is (347) 804-4956.

What is Michael Banome's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Michael Banome enrolled in Medicare?

Yes. Michael Banome 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 Michael Banome's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Banome reassigns Medicare benefits to 2 organizations: Fox Rehabilitation Physical Therapy Services LLC (New York, NY) and Advance Physical Therapy, P.C. (Wantagh, NY). 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 Michael Banome'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 Michael Banome was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.