Active NPI
Tracy Elizabeth Gannon, MSPT
- Physical Therapist
- East Greenwich, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT01111
- Practice address
- 5600 Post Road
Suite 116
East Greenwich, RI 02818 - Phone
- (401) 885-0069
- Fax
- (401) 885-0071
- NPI assigned
- Jun 24, 2010
- Sex
- Female
- Sole proprietor
- No
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 | PT01111 | RI | Primary |
Addresses
Primary practice location
5600 Post Road
Suite 116
East Greenwich, RI 02818
Mailing address
100 Hartshorn Road
Providence, RI 02906
Phone (401) 885-0069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 High St
Wakefield, RI 02879-3103
Phone (401) 777-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT01111 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedics Rhode Island, Inc | Physical Therapist | Current | Accepting new patients |
| Orthopedics Rhode Island, Inc | Current | Accepting new patients | |
| Contrology Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Alpha Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Contrology LLC | Physical Therapist | Past | Accepting new patients |
Locations
900 Warren Ave
Ste 202
East Providence, RI 02914
1 High St
Wakefield, RI 02879
Phone (401) 789-1422
300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Warwick, RI
- NPI 1407231293
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Johnston, RI
- NPI 1114740230
-
- Physical Therapist
- Cranston, RI
- NPI 1316071855
-
- Physical Therapy Clinic/Center
- East Greenwich, RI
- NPI 1275848814
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1295046282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HARTSHORN ROAD",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02906",
"telephone_number": "401-885-0069",
"fax_number": "401-885-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 POST ROAD",
"address_2": "SUITE 116",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "02818",
"telephone_number": "401-885-0069",
"fax_number": "401-885-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANNON",
"first_name": "TRACY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT01111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.