Active NPI
Amy Middleton Gann, PT
- Physical Therapist
- Greensboro, NC
National Provider Identifier
1629255039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9806
- Practice address
- 2309 W Cone Blvd Ste 110
Greensboro, NC 27408-4045 - Phone
- (336) 545-9609
- NPI assigned
- Jan 28, 2008
- 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 | 9806 | NC | Primary |
Addresses
Primary practice location
2309 W Cone Blvd Ste 110
Greensboro, NC 27408-4045
Mailing address
8013 Bartonshire Dr
Oak Ridge, NC 27310-9676
Phone (336) 643-2721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9806 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1629255039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8013 BARTONSHIRE DR",
"city": "OAK RIDGE",
"state": "NC",
"postal_code": "273109676",
"telephone_number": "336-643-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2309 W CONE BLVD STE 110",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274084045",
"telephone_number": "336-545-9609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANN",
"first_name": "AMY",
"middle_name": "MIDDLETON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-28",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "9806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.