Active NPI
Tammy C Gantzer, PT
- Physical Therapist
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3445
- Practice address
- 134 Professional Park Drive
Rock Hill, SC 29732-1178 - Phone
- (803) 329-4685
- Fax
- (803) 329-4683
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3445 | SC | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 3445 | SC |
Addresses
Primary practice location
134 Professional Park Drive
Rock Hill, SC 29732-1178
Mailing address
105 Ben Casey Drive
Suite 127
Fort Mill, SC 29708-8561
Phone (803) 802-5855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4586 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1757 Ebenezer Rd
Rock Hill, SC 29732-1101
Phone (803) 329-4685
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3445 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Rehabilitation Specialists, LLC | Physical Therapist | Current | Accepting new patients |
| Palmetto Rehabilitation Specialists, LLC | Physical Therapist | Past | Accepting new patients |
| Carolina Orthopaedic Surgery Associates, P.a. | Past | Accepting new patients |
Locations
105 Ben Casey Dr
Ste 127
Fort Mill, SC 29708
Phone (803) 448-3200
1757 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 329-4685
134 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3130
Interoperability endpoints
- https://api.platform.athenahealth.com/6315/brand/3/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Fort Mill, SC
- NPI 1508826025
-
- Orthopaedic Surgery Physician
- Rock Hill, SC
- NPI 1104917400
-
- Physical Therapist
- Fort Mill, SC
- NPI 1003194978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1013001981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BEN CASEY DRIVE",
"address_2": "SUITE 127",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088561",
"telephone_number": "803-802-5855",
"fax_number": "803-802-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 PROFESSIONAL PARK DRIVE",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321178",
"telephone_number": "803-329-4685",
"fax_number": "803-329-4683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANTZER",
"first_name": "TAMMY",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "3445",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "SC",
"license": "3445",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4586",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.