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Contact Information

SMR BANYAN TREE, INC.
140 HIGHLAND TERRACE BLVD
SUITE B
WARREN, OH44484-3074
 Phone: 330-652-8733
 Fax: 330-652-0030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physical Therapy

261QP2000X
 

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for SMR BANYAN TREE, INC.

NPI # 1689604084
LBN Legal business name SMR BANYAN TREE, INC.
Authorized official JOHN DUGGAN - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2006
Last updated 10/21/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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