Individual provider Active NPI

Ruthi Zamir Ganchrow IV

  • Pediatric Physical Therapist
  • Roslyn, NY
National Provider Identifier
1053556415
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
022060 Issued in NY
Practice address
260 Birch Dr
Roslyn, NY 11576-3002
Phone
(516) 801-1133
NPI assigned
Dec 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 022060 NY Primary

Addresses

Primary practice location

260 Birch Dr
Roslyn, NY 11576-3002

Mailing address

260 Birch Dr
Roslyn, NY 11576-3002
Phone (516) 801-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1053556415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BIRCH DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763002",
            "telephone_number": "516-801-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BIRCH DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763002",
            "telephone_number": "516-801-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANCHROW",
        "first_name": "RUTHI",
        "middle_name": "ZAMIR",
        "name_suffix": "IV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "022060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.