Omari Banner
Massage Therapist in Waltham, Massachusetts
1861312175- Practice location
- 49 Ravenswood RD, Waltham, MA 02453-1747
- Phone
- 781-547-1713
- Fax
- —
- Last updated
- July 16, 2026
Omari Banner is a Massage Therapist based in Waltham, MA. Omari Banner practices in Waltham, MA. The NPI Number for Omari Banner is 1861312175 and holds a License No. 17561 (MA). The current practice location address for Omari Banner is 49 Ravenswood RD, Waltham, MA 02453-1747 and can be reached out via phone at 781-547-1713.
Provider Profile Details
- NPI Number
- 1861312175
- Provider Name
- Omari Banner
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 49 Ravenswood RD, Waltham, MA 02453-1747
- Phone Number
- 781-547-1713
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 16, 2026
- Last Update Date
- July 16, 2026
- Certification Date
- July 17, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 49 Ravenswood RD
Waltham, MA 02453-1747 - City
- Waltham
- State
- Massachusetts
- Zip
- 02453-1747
- Phone Number
- 781-547-1713
Provider Business Mailing Address Details
- Address
- 49 Ravenswood RD
Waltham, MA 02453-1747 - City
- Waltham
- State
- MA
- Zip
- 02453-1747
License Information
- License Number
- 17561
- License State
- MA
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Omari Banner?
The NPI number of Omari Banner is 1861312175. It was assigned on July 16, 2026 and is currently active in the NPPES registry.
What is the specialty of Omari Banner?
Omari Banner is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in MA under license number 17561.
Where does Omari Banner practice?
The practice location is 49 Ravenswood RD, Waltham, MA 02453-1747. The office can be reached at 781-547-1713 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861312175 directly on the NPPES registry website.