Provider Demographics
NPI:1104883438
Name:KURMANN, GINGER C (PT)
Entity type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:C
Last Name:KURMANN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3650 BERRYHILL RD
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-8321
Mailing Address - Country:US
Mailing Address - Phone:850-995-1364
Mailing Address - Fax:850-995-4457
Practice Address - Street 1:3650 BERRYHILL RD
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-8321
Practice Address - Country:US
Practice Address - Phone:850-995-1364
Practice Address - Fax:850-995-4457
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT105069225100000X
ALPTH1916225100000X
VA2305205416225100000X
FLAL702255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
106610Medicare UPIN
VAC05501OtherMEDICARE GROUP NUMBER