Adam Douglas Ganzekaufer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020614 Issued in NY

Practice address

40 Cherry St
Glen Head, NY 11545-1804

Phone

(347) 365-0925

NPI assigned

Apr 20, 2012

Last updated

Apr 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Priority One Therapy PT OT SLP PLLC

  dba @Home Therapy

  • Rehabilitation Practitioner
  • Oceanside, NY
  • NPI 1447517453
  Medicare reassignment

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1992062525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CHERRY ST",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451804",
            "telephone_number": "347-365-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CHERRY ST",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451804",
            "telephone_number": "347-365-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZEKAUFER",
        "first_name": "ADAM",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Fitzgerald
• Coutney Fitzpatrick
• Catherine Forsander, M.S.
• Teresa Fus
• Gail Lowenstein, MD, PC
• Allison Joy Garvin-Cullen, P.H.D.,CCC-SLP
• Pamela Gates
• Kenneth Adam Gerasimovich
• Golnoosh Yousef Ghatri, LMSW
• Ghazanfar W. Haidery MD PC

• Physical Therapist in Glen Head, NY
• Providers in Glen Head, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.