Kimberly Ganley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE002954L Issued in PA

Practice address

235 W Lancaster Ave
Devon, PA 19333-1560

Phone

(610) 688-8080

NPI assigned

Apr 4, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649392010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 WESTPARK LN",
            "city": "CLIFTON HEIGHTS",
            "state": "PA",
            "postal_code": "190181121",
            "telephone_number": "610-626-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W LANCASTER AVE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331560",
            "telephone_number": "610-688-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANLEY",
        "first_name": "KIMBERLY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE002954L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert William Fritch, DPT
• Laura Fruchter, MD
• FTH Services
• Frank H Furman, MD
• Mallory Dolan Gagliano, DPT
• Jamie Gendimenico, LSW
• Kristina Gentile, MSOT R/L
• Nisha George, DO, MPH
• Holly Giblin, RN
• Kenyetta Givans

• Physical Therapy Assistant in Devon, PA
• Providers in Devon, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.