Jerilyn Gantt

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32760 Issued in FL

Practice address

3657 Cortez Rd W Ste 110
Bradenton, FL 34210-3171

Phone

(941) 739-7828

Fax

(941) 739-7838

NPI assigned

Nov 15, 2018

Last updated

Nov 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jerilyn Toubman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Alchemy Acupuncture Psychotherapy

  • Clinical Social Worker
  • Bradenton, FL
  • NPI 1972834026
  NPD (past)

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1285103598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3657 CORTEZ RD W STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103171",
            "telephone_number": "941-739-7828",
            "fax_number": "941-739-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 CORTEZ RD W STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103171",
            "telephone_number": "941-739-7828",
            "fax_number": "941-739-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTT",
        "first_name": "JERILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "PT32760",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERILYN",
            "last_name": "TOUBMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Brannen Ganey Jr., MD
• Thomas Harris Ganey Sr., MD
• Shane Ganga
• Gangi Dental Care PA
• Stephanie Gannett, DC
• Jennifer Lauren Garafola, LCSW
• Jacqueline Garavito, M.D.
• Dominick Christian Garbe
• Joel Garcia Boss
• Wally Alessandro Garcia Fulle, DDS

• Physical Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.