OMARI BANNER NPI 1861312175

NPI Information

  • NPI: 1861312175
  • Provider Name: OMARI BANNER
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 49 RAVENSWOOD RD
    WALTHAM, MA
    ZIP 02453
  • Phone: (781) 547-1713

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NPI Details

Omari Banner is a massage therapist in Waltham, MA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Omari Banner NPI is 1861312175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

49 RAVENSWOOD RD
WALTHAM, MA
ZIP 02453-747
Phone: (781) 547-1713

The enumeration date for this NPI number is 7/16/2026 and was last updated on 7/16/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist17561MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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