Jessie Ganon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01244200 Issued in NJ

Practice address

4251 Route 9 N
Building 3 Suite B
Freehold, NJ 07728-8303

Phone

(732) 683-1800

Fax

(732) 683-1090

NPI assigned

Jan 20, 2009

Last updated

Jan 20, 2009By the provider in NPPES

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Center for Sports Physical Therapy, LLCGroup PAC ID 3779027073, 2 clinicians

Avantgarde Rehabilitation Limited Liability CompanyGroup PAC ID 0547491284, 4 clinicians

Rehability LLC.Group PAC ID 9638279250, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Sports Physical Therapy, LLC

  • Physical Therapist
  • Freehold, NJ
  • NPI 1568219954
  Medicare reassignment Care Compare group NPD Authorized official
• Rehability LLC

  • Chiropractor
  • Freehold, NJ
  • NPI 1447379177

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Avantgarde Rehabilitation Limited Liability Company

  • Physical Therapist
  • Staten Island, NY
  • NPI 1881937423

  NJ

  Medicare reassignment Care Compare group NPD
• Theraworks Physical Therapy and Rehabilitation LLC

  • Physical Therapist
  • Barnegat, NJ
  • NPI 1861430357
  Medicare reassignment NPD
• Rehability Sports Medicine, LLC

  • Physical Medicine & Rehabilitation Physician
  • Freehold, NJ
  • NPI 1851935837

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1447497987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 ROUTE 9 N",
            "address_2": "BUILDING 3 SUITE B",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288303",
            "telephone_number": "732-683-1800",
            "fax_number": "732-683-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 ROUTE 9 N",
            "address_2": "BUILDING 3 SUITE B",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288303",
            "telephone_number": "732-683-1800",
            "fax_number": "732-683-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANON",
        "first_name": "JESSIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01244200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lou Gagliardo, RPH
• Alan Gaines, PT
• Stephanie Galarza Conti, LPC
• Beata Gallehdari, FNP
• Samantha Galucci, AGNP-C
• Esther H Ganz, LPC LCADC
• Jennifer Garcia
• Ronni Garcia, MS, LPC, NCC
• Garden State Internists LLC
• Garden State Physical Therapy Group

• Physical Therapist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.