NPI

Mary J Baniak

NPI 1518097302

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
PT
Type
Individual
Enumeration date
2007-03-07
Last updated
2007-07-08

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Specialties

Licenses

License WV
1589

Location

Practice location
Rr 5 Box 521
City
Keyser WV
Postal code
26726-9016
Phone
(301) 707-3346
Fax
(304) 726-4213

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Physical Therapists in Keyser, WV. 8 with this primary taxonomy in the public file.

Other NPIs in Keyser, WV. 820 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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