Erlene Ann Gangestad

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

00769 Issued in IA

Practice address

3 Pennsylvania PL
Vista Woods
Ottumwa, IA 52501

Phone

(641) 683-3372

NPI assigned

Jun 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1235667353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 189TH ST",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525318770",
            "telephone_number": "641-226-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PENNSYLVANIA PL",
            "address_2": "VISTA WOODS",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "52501",
            "telephone_number": "641-683-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGESTAD",
        "first_name": "ERLENE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "00769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Eddie Franje, LISW
• Molly J Franke, PAC
• Fresenius Medical Care Ottumwa, LLC
• Bruce H Fridinger, DPM
• Margaret Maeve Fuller, PMHNP
• Eric G Garner, M.D.
• Dawn Noel Garrett
• Jenna Leigh Genck, NP-C
• Genoa Healthcare LLC
• Get Well Clinic LLP

• Physical Therapy Assistant in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; 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.