Individual provider Active NPI

Laura Ganshirt Pizzuto, PT

  • Physical Therapist
  • Oakbrook Terrace, IL
National Provider Identifier
1114373610
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.005318 Issued in IL
Practice address
1S443 Summit Ave
Suite 202
Oakbrook Terrace, IL 60181-3989
Phone
(630) 324-0905
Fax
(331) 209-9098
NPI assigned
May 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.005318 IL Primary

Addresses

Primary practice location

1S443 Summit Ave
Suite 202
Oakbrook Terrace, IL 60181-3989

Mailing address

33900 Harper Ave
Suite 104
Clinton Township, MI 48035-4258
Phone (586) 416-9100

Other names 1

  • Laura Ganshirt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025002417 IL Practitioner - Physical Therapist in Private Practice 8921482811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Improved Functions Therapeutic Services IncGroup PAC ID 4385745207, 3 clinicians

Practice addresses (Care Compare)

17 W 745 Butterfield Rd
Suite D
Oakbrook Terrance, IL 60181-4095
Phone (630) 324-0905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.005318ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Improved Functions Therapeutic Services Inc Physical Therapist CurrentSince Jun 28, 2022 Accepting new patients

Locations

1S443 Summit Ave
Ste 202
Oakbrook Terrace, IL 60181
Phone (630) 324-0905

17W745 Butterfield Rd
Ste D
Oakbrook Terrace, IL 60181
Phone (630) 324-0905

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1114373610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE",
            "address_2": "SUITE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-416-9100",
            "fax_number": "586-416-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S443 SUMMIT AVE",
            "address_2": "SUITE 202",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813989",
            "telephone_number": "630-324-0905",
            "fax_number": "331-209-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANSHIRT PIZZUTO",
        "first_name": "LAURA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.005318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GANSHIRT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.

Verify at the official NPI Registry.