IndividualActive
Carlos Bannister, MPT
NPI 1548797699 · Geriatric Physical Therapist · Pfafftown, NC
Provider details
- NPI number
- 1548797699
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12879 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5908 Peaceful Glen Dr
Pfafftown, NC 27040-9300
Phone: (336) 287-7941
Fax: (336) 287-7941
Approximate (ZIP-level) locationGet directions
Mailing address
5908 Peaceful Glen Dr
Pfafftown, NC 27040-9300
Additional practice locations (1)
- 2000 Salemtowne DrWinston Salem, NC 27106-3794Phone: (336) 767-8130
Registry dates
- Enumerated
- 2017-05-19
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.