BLAKE ARIEL BANNER PT
NPI 1942770342
Physical Therapist in Forestville, MD
About Blake Ariel Banner Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE ARIEL BANNER PT (NPI 1942770342) is an individual physical therapist in Forestville, Maryland, licensed in Indiana (05015177A) and active in the NPI registry since November 2018. She maintains 2 additional practice locations and is a graduate of Other (2017).
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.
Secondary Practice Locations 2
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
Blake Ariel Banner Pt 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
2Medicare enrollment records show Blake Banner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Schererville, IN 46375
- Reassigned Medicare billing, Indiana enrollment
- 250 clinicians in this Medicare group
Matteson, IL 60443
- Reassigned Medicare billing, Illinois enrollment
- 501 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 4
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 20747 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORESTVILLE, MD 20747
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 Blake Banner's NPI number?
The NPI number for Blake Banner is 1942770342. It was assigned to this individual provider in the NPPES registry on November 28, 2018.
Where is Blake Banner located?
Blake Banner practices at 2950 Donnell Dr Ste G, Forestville, MD 20747. The listed phone number is (240) 492-3410.
What is Blake Banner's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Blake Banner enrolled in Medicare?
Yes. Blake 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 organizations bill Medicare for Blake Banner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blake Banner reassigns Medicare benefits to 2 organizations: Athletico, Ltd (Schererville, IN) and Athletic And Therapeutic Institute Of Naperville, LLC (Matteson, IL). 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 Blake Banner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blake Banner accept?
Health plans from Anthem Blue Cross and Blue Shield list Blake 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 Blake Banner was last updated on May 20, 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.