Gwendolynne P Gant, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1760 Issued in KY

Practice address

115 S Salem Dr
Physical Therapy Associates
Bardstown, KY 40004-1762

Phone

(502) 350-0880

Fax

(502) 350-3640

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Mrs. Gwynn P Gant Other name

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 and National Provider Directory roles.

• Algwydon Inc

  • Physical Therapist
  • Bardstown, KY
  • NPI 1811961840
  NPD (past)
• His Way Inc.

  • Chiropractor
  • Bardstown, KY
  • NPI 1396916342
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1992779854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N MILES ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011834",
            "telephone_number": "270-360-9129",
            "fax_number": "270-234-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S SALEM DR",
            "address_2": "PHYSICAL THERAPY ASSOCIATES",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041762",
            "telephone_number": "502-350-0880",
            "fax_number": "502-350-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANT",
        "first_name": "GWENDOLYNNE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "1760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000192994",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700031100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CJ8198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY MEDICARE PIN",
            "identifier": "00907",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWYNN",
            "last_name": "GANT",
            "middle_name": "P",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley Danielle Fugett, LMT
• Destiny Marie Fullen
• Roland Paul Gabbert Jr., LCSW
• Danielle Jeany Gallagher
• Meghan Gambrel, OD
• Milton E Gardner Jr., RPH
• Donna R Gerber, PTA
• Felicia Dawn Geron, APRN
• Cynthia Joy Gilpin, D.I.
• Krista Gail Glenn

• Physical Therapist in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.