Mary Gantt, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501003654 Issued in MI

Practice address

19701 Vernier Rd
Uite280
Harper Woods, MI 48225-1467

Phone

(313) 884-8920

Fax

(313) 884-8510

NPI assigned

Mar 18, 2008

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

Other names 1

• Mary McNeil Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• HC Rehab Solutions LLC

  • Occupational Therapist
  • Plymouth, MI
  • NPI 1417995986

  Physical Therapist

  NPD (past)
• In Home Rehab,LLC

  • Physical Therapist
  • Roseville, MI
  • NPI 1942248422
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1982875985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22426 ALTON CT",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753801",
            "telephone_number": "586-504-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 VERNIER RD",
            "address_2": "UITE280",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251467",
            "telephone_number": "313-884-8920",
            "fax_number": "313-884-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTT",
        "first_name": "MARY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MCNEIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• First Come Transportation LLC
• Patricia Flatley
• Beryl Fletcher, LPC, CADC-M
• Angela Frank, LLMSW
• Chiquita R Freeman
• Donald Garver, M.D.
• Generous Non Emergency Medical Transportation Service LLC
• Dragana Gerasimova
• Get Well Urgent Care Harper Woods PLC
• Gino Hassan Ghamlouche, PHARMD

• Physical Therapist in Harper Woods, MI
• Providers in Harper Woods, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.