Active NPI
Ganesh Yasam
- Physical Therapist
- Hamden, CT
National Provider Identifier
1184983934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8012
- Practice address
- 32 Towne House Rd
Hamden, CT 06514-2104 - Phone
- (203) 823-5354
- NPI assigned
- May 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8012 | CT | Primary |
Addresses
Primary practice location
32 Towne House Rd
Hamden, CT 06514-2104
Mailing address
32 Towne House Rd
Hamden, CT 06514-2104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
77 3Rd St
Stamford, CT 06905-4722
Phone (203) 204-3092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1184983934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 TOWNE HOUSE RD",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065142104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 TOWNE HOUSE RD",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065142104",
"telephone_number": "203-823-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASAM",
"first_name": "GANESH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-15",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "8012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.