Michelle R Ganiban, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39307 Issued in CA

Practice address

1201 Alhambra Blvd Ste 210
Sacramento, CA 95816-5241

Phone

(916) 731-7900

Fax

(916) 731-7315

NPI assigned

Jun 5, 2017

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)

Enrolled

State licenses

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1689103558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 GATEWAY OAKS DR STE 310",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333658",
            "telephone_number": "916-887-7398",
            "fax_number": "916-503-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ALHAMBRA BLVD STE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165241",
            "telephone_number": "916-731-7900",
            "fax_number": "916-731-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANIBAN",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT39307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Gay Camille Gandy-Rosemond, RN
• Ashley Lynn Gandy
• Swetha Ganesan
• Beth Ann Ganetsos, CRNA
• Rama Rao Ganga, M.D.
• Theresa Gannon, PH.D.
• Roc Herbert Gantt, OMD,L.AC.
• Hannah Gantuangco
• Dan Gao
• Hang Gao

• Physical Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.