MEDICARE: COLLEEN BANIK OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	6086	NC

General Provider Information

NPI Number	:	1205772944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN BANIK OTR/L

Provider Business Mailing Address
First Line	:	3927 TWELVE MILE CREEK RD
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28104-9236
Country	:	US
Telephone Number	:	704-296-6317
Fax Number	:

Provider Business Practice Location Address
First Line	:	3927 TWELVE MILE CREEK RD
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28104-9236
Country	:	US
Telephone Number	:	704-296-6317
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

Similar Medicare Providers

1770414476 — PAMELA LYNN HOUSTON
Practice Location Address:

3927 TWELVE MILE CREEK RD
MATTHEWS, NC
28104-9236

Practice Phone: 704-296-6317
Practice Fax:

1326976911 — BINYAM SAMUEL TEFERRA
Practice Location Address:

5006 STANBURY DR
MATTHEWS, NC
28104-6815

Practice Phone: 913-305-8422
Practice Fax:

1174452593 — SALLY L. HOLMES MS,CCC-SLP
Practice Location Address:

451 HUNTING CREEK RD
MATTHEWS, NC
28104-9311

Practice Phone: 704-993-1996
Practice Fax:

1104783869 — DOMINIQUE FOSTER LCSWA
Practice Location Address:

5060 STONEHILL LN
MATTHEWS, NC
28104-6117

Practice Phone: 954-240-0505
Practice Fax:

1407848070 — MR. THOMAS J MORGAN MS, LAT,ATC,PES,EMT
Practice Location Address:

1013 CHESTNUT LN STE 120
MATTHEWS, NC
28104

Practice Phone: 704-893-5487
Practice Fax: 704-973-0696

1336134485 — DR. KESHAV BHAT O.D.
Practice Location Address:

1013 CHESTNUT LN , SUITE 210
MATTHEWS, NC
28104-8531

Practice Phone: 704-821-5009
Practice Fax: 866-334-0626

Directions to “ COLLEEN BANIK OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.