Individual provider · Type 1 NPI

Carlos Bannister, MPT

Geriatric Physical Therapist · Pfafftown, NC

NPI number 1548797699 Active

Practice location

5908 Peaceful Glen Dr
Pfafftown, NC 27040-9300

Fax (336) 287-7941

Other practice locations

  • 2000 Salemtowne Dr, Winston Salem, NC 27106-3794 · (336) 767-8130

Specialties and licenses

TaxonomyCodeLicense
Geriatric Physical Therapist Primary 2251G0304X12879 (NC)

Geriatric Physical Therapist: 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 pat…

About NPI 1548797699

Carlos Bannister, MPT's National Provider Identifier is 1548797699, issued on May 19, 2017. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Pfafftown, NC. The record was last updated on Mar 17, 2018.