Nicolo Florendo Ginsburg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT003546 Issued in GA

Practice address

1900 Glenn Club Dr Apt 610
Stone Mountain, GA 30087-3469

Phone

(239) 738-0898

NPI assigned

Jan 3, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bhanja Enterprises LLC

  • Occupational Therapist
  • Duluth, GA
  • NPI 1942605001

  Physical Therapist

  NPD
• Mobility Therapy Providers Inc

  • Physical Therapist
  • Cape Coral, FL
  • NPI 1669514113
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1871650143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 GLENN CLUB DR APT 610",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873469",
            "telephone_number": "239-738-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GLENN CLUB DR APT 610",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873469",
            "telephone_number": "239-738-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINSBURG",
        "first_name": "NICOLO",
        "middle_name": "FLORENDO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22176",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE BOARD OF PHYSICAL THERAPY",
            "identifier": "PT003546",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Gerson, L.P.C.
• Raeanne Elizabeth Gialanella, OTR
• Gibraltar Biz, LLC
• Courtney Lauren Gilliland
• Gilma Compassion LLC
• Giovanni Nirmala
• Global Pharmacy & Medical Supplies, LLC
• Allison Maria Glover
• Nancy Glover
• GM Accident and Injury Urgent Care

• Physical Therapist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.