Ross Gardner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11763 Issued in SC

Practice address

211 Squire Pope Rd
Summerville, SC 29486-6999

Phone

(208) 613-7361

Fax

(843) 892-8444

NPI assigned

Dec 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

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.

• Primary Therapy Source, LLC

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1912027343
  Medicare reassignment NPD
• Homegrown Pediatric Therapies LLC

  • Physical Therapist
  • Summerville, SC
  • NPI 1043910441
  NPD Authorized official
• Homegrown Pediatric Therapies LLC

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1992690101
  NPD Authorized official
• Primary Therapy Source LLC

  • Durable Medical Equipment & Medical Supplies
  • Twin Falls, ID
  • NPI 1104672682

  Physical Therapist

  NPD

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1669944831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SQUIRE POPE RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294866999",
            "telephone_number": "208-613-7361",
            "fax_number": "843-892-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SQUIRE POPE RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294866999",
            "telephone_number": "208-613-7361",
            "fax_number": "843-892-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ROSS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-27",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Flanders Ganas, M.ED., CCC-SLP
• Lori M Gant, MA, LPC
• Kiara M Garcia
• Christine D Gardner, RPH
• Laura Leigh Gardner, MA, CCC-SLP
• Cherith Garner, NURSE
• Kari J Garner, RD, LDN
• Lisa Garner
• Morgan Garrett
• Natalie Christine Garver, M.D.

• Physical Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.