Individual provider Active NPI

Thomas Joseph Gangemi, P.T.

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1366586042
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19839 Issued in FL
Practice address
111 Oxford PL
Wilmington, DE 19803-4517
Phone
(443) 252-7367
NPI assigned
Feb 16, 2007
Last updated
Aug 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19839 FL Primary

Addresses

Primary practice location

111 Oxford PL
Wilmington, DE 19803-4517

Mailing address

111 Oxford PL
Wilmington, DE 19803-4517
Phone (443) 252-7367

Other identifiers 1

IdentifierTypeStateIssuer
Y0470OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141222000952 PA Practitioner - Physical Therapist in Private Practice 2264329200 Practice locations: Claymont, DE
I20150414000187 DE Practitioner - Physical Therapist in Private Practice 2264329200 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24321MDMDPharmacist
PT19839FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Therapy Associates, Inc. Physical Therapist CurrentSince Jan 1, 2002 Accepting new patients
Florida Rehability at Home, LLC Physical Therapist CurrentSince Dec 5, 2016 Accepting new patients
Joseph P Hornberger Ms DC PA PastSince Dec 6, 2004 Accepting new patients

Locations

4001 Swift Rd
Sarasota, FL 34231
Phone (941) 921-1984

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1366586042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OXFORD PL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034517",
            "telephone_number": "443-252-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OXFORD PL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034517",
            "telephone_number": "443-252-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGEMI",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0470",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.