Individual provider Active NPI

Tricia B Gantert, PT

  • Physical Therapist
  • Ridgefield, CT
National Provider Identifier
1902527740
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004963 Issued in CT
Practice address
27 Governor St
Ridgefield, CT 06877-4608
Phone
(203) 438-5555
NPI assigned
Sep 9, 2022
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004963 CT Primary

Addresses

Primary practice location

27 Governor St
Ridgefield, CT 06877-4608

Mailing address

9 Old Bridge Rd E
New Fairfield, CT 06812-3211
Phone (203) 470-6066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006000031 CT Practitioner - Physical Therapist in Private Practice 6901282425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab by Rvna LLCGroup PAC ID 2466747019, 25 clinicians
Rvnahealth, IncGroup PAC ID 7416990569, 29 clinicians

Practice addresses (Care Compare)

27 Governor St
Ridgefield, CT 06877-4608
Phone (203) 438-7862

27 Governor St
Ridgefield, CT 06877-4657
Phone (203) 438-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4963CTMDOccupational Therapist
004963CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab by Rvna, LLC CurrentSince Mar 14, 2026 Accepting new patients
Rvnahealth, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Rvnahealth, Inc. CurrentSince Sep 1, 2022 Accepting new patients

Locations

27 Governor St
Ridgefield, CT 06877
Phone (203) 438-5555

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1902527740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OLD BRIDGE RD E",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068123211",
            "telephone_number": "203-470-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GOVERNOR ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774608",
            "telephone_number": "203-438-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTERT",
        "first_name": "TRICIA",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.