Elizabeth J Ganske, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11590 Issued in WI

Practice address

3111 W Rawson Ave
Suite 215
Franklin, WI 53132-9417

Phone

(414) 761-0727

NPI assigned

Jul 27, 2010

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

• Elizabeth J Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18170/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1346554821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "414-761-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W RAWSON AVE",
            "address_2": "SUITE 215",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329417",
            "telephone_number": "414-761-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANSKE",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346554821",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "JOHNSON",
            "middle_name": "J",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lorell Karol Fry, PT
• Jessica Beth Fugman, RN
• Shawna M Gabriel, RN
• Meghan Josephine Gain, BSN, RN
• Megan Nicole Gallagher, PHARMD
• Daniel Joseph Garbacz, DPT, LAT, CMTPT
• Sarah Garcia
• Andrew Thomas Gerstner, M.D.
• Taha Ghouleh
• Jeanine Marie Giacalone, MS/CCC-SLP

• Physical Therapist in Franklin, WI
• Providers in Franklin, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.