Jordan Ganzekaufer, P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

8097 Issued in SC

Practice address

536 Old Howell Rd
Greenville, SC 29615-1969

Phone

(843) 293-1137

NPI assigned

Dec 2, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1962945337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 OLD HOWELL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 OLD HOWELL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151969",
            "telephone_number": "843-293-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZEKAUFER",
        "first_name": "JORDAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "SC",
            "license": "8097",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "020395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pallavi Ganesan
• Thomas Higgins Gann Jr., MD
• Danielle M Gantt
• Kathleen Gantt, RN
• Lisa D Gantt, ANP
• Emory Garand, BCBA
• Hari Naga Venu Gopal Garapati, M.B.B.S, MD, MSPH
• Courtney Gnau Garbade, OT
• Connie Marie Garces, PT, DPT
• Eric Garcia-Torres, MD

• Geriatric Physical Therapist in Greenville, SC
• Providers in Greenville, SC by specialty
• Geriatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.