OrganizationActive
Smr Banyan Tree, Inc.
NPI 1164458329 · Physical Therapist · Dublin, OH
Provider details
- NPI number
- 1164458329
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Michael Tarvin, Vice President & Secretary(717) 972-1100
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
Practice location
5130 Bradenton Ave
Suite B
Dublin, OH 43017-7068
Phone: (614) 336-8733
Fax: (614) 336-0658
Approximate (ZIP-level) locationGet directions
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2018-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.