Janet MK Gangaway, PT, OCS, ATC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5103 Issued in CT

Practice address

200 Bloomfield Ave
West Hartford, CT 06117-1545

Phone

(860) 768-5335

NPI assigned

Nov 30, 2006

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689741746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 BRENTMOOR RD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181709",
            "telephone_number": "860-568-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BLOOMFIELD AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171545",
            "telephone_number": "860-768-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGAWAY",
        "first_name": "JANET",
        "middle_name": "MK",
        "name_prefix": "Mrs.",
        "credential": "PT, OCS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "5103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Marshall Gady, D.M.D., M.D.
• Kaitlyn A. Gagne, M.A., CCC-SLP
• Michael Moses Gale, PH.D.
• Rafael Gallegos, PSYD
• Anne Marie Marie Galli
• John A Gannatti, DDS
• Darwin Garcia-Nunez
• Rocio Del Carmen Garcia, RN
• Gary E Russolillo MD PC
• Dori Gatter, LPC

• Orthopedic Physical Therapist in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Orthopedic Physical Therapist in Connecticut

• 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.