Connor Patrick Ganzer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070024348 Issued in IL

Practice address

15960 Ashford CT
Tinley Park, IL 60477-6750

Phone

(304) 371-4876

Fax

(855) 462-3009

NPI assigned

Aug 12, 2019

Sex

Male

Sole proprietor

No

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reinvent Health Inc.Group PAC ID 2264964477, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Reinvent Health Inc

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1215763206

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Retri Performance

  • Physical Therapist
  • Tinley Park, IL
  • NPI 1124727474
  NPD Authorized official

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1356997803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15960 ASHFORD CT",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776750",
            "telephone_number": "630-437-1487",
            "fax_number": "855-462-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15960 ASHFORD CT",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776750",
            "telephone_number": "304-371-4876",
            "fax_number": "855-462-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZER",
        "first_name": "CONNOR",
        "middle_name": "PATRICK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070024348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Gallivan, LCSW
• Mireya Galvan, DMD
• Chris Bernard Gambla, D.D.S.
• Ganapathi Gottumukkala
• Stephanie Debra Gancarski
• Grace Garcia
• Jasmine Garcia
• Katrina Garnett
• Khalia Gates
• Guy Henry Gattone, DDS

• Physical Therapist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.

Verify at the official NPI Registry.