Caroline Cuthrell Ganzert, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A7273 Issued in NC

Practice address

312 Academy St S # G
Ahoskie, NC 27910-3200

Phone

(252) 578-9078

NPI assigned

May 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Big Heart International Trading LLC

  • Physical Therapist
  • Ahoskie, NC
  • NPI 1982279436

  Physical Therapy Assistant

  NPD

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1831763861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 ACADEMY ST S # G",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103200",
            "telephone_number": "252-578-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 ACADEMY ST S # G",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103200",
            "telephone_number": "252-578-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZERT",
        "first_name": "CAROLINE",
        "middle_name": "CUTHRELL",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A7273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ahoskie",
            "affiliation": "N",
            "endpointDescription": "Ahoskie",
            "address_1": "312 Academy St S # G",
            "city": "Ahoskie",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279103200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandon Scott Faucette, CRNA
• Amanda Fields
• First Choice Non Emergency Medical Transportation
• Timothy Edward Frei, M D
• David J. Friedman, M.D.
• Raghuvir Baxiram Gelot, M.D.
• Genesis Psychological Services, LCC
• Gilda S Robertson
• Alan Goddard, PAC
• Goshen House LLC

• Physical Therapy Assistant in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.