CLARISSA GANTT (DPT) – Physical Therapist, NPI 1992355960

CLARISSA GANTT (DPT) is a healthcare provider. based in El paso, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1324092 (TX). The NPI Number for CLARISSA GANTT (DPT) is 1992355960

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CLARISSA GANTT (DPT)
NPI
1992355960
Phone
Not provided
Address
3720 LOMA JACINTO DR
Enumeration Date
12 September 2019
Last Update Date
5 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6155071552
Graduation Year
2019 (7 years ago)
PAC ID
3577960400
Group Practice PAC ID
4486066396
Professional Enrollment ID
I20210920003631
Address ID
TN370752489HE262XXRDXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for CLARISSA GANTT (DPT)

  • 3720, Loma Jacinto Drive, El Paso, El Paso County, Texas, 79938, United States

    EL PASO, TX 799381233

    Phone:

    Type: Mailing

  • Dew Drive, Coronado Hills, El Paso, El Paso County, Texas, 79912, United States

    EL PASO, TX 799123912

    Phone: (915) 587-4081

    Type: Location

  • PO BOX 306393

    NASHVILLE, TN 372306393

    Phone: (615) 373-1350

    Fax: (615) 373-7116

    Type: Mailing

  • 262 NEW SHACKLE ISLAND RD STE 210

    HENDERSONVILLE, TN 370752489

    Phone: (615) 507-1552

    Fax: (615) 507-1553

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210920003631IPhysical Therapist In Private PracticeTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47248$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes45842$0
97530Therapy procedure using functional activities38343$0
97140Therapy procedure using manual technique, each 15 minutes10327$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care6812$0
View full utilization report →

Insurance plans in this area (ZIP 79938)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486066396View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Occupational Therapist In Private PracticeTN
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN

Reviews

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Frequently asked questions

How do I look up CLARISSA GANTT (DPT) by NPI?
Use NPI 1992355960 when you need to reference CLARISSA GANTT (DPT) in forms, claims, or directories.
Is CLARISSA GANTT (DPT) active in the national directory?
CLARISSA GANTT (DPT)'s public NPI profile is in an active state.
What field does CLARISSA GANTT (DPT) work in?
You can think of CLARISSA GANTT (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for CLARISSA GANTT (DPT)?
We surface El Paso, Texas for CLARISSA GANTT (DPT) based on available NPPES addresses.
How can I contact CLARISSA GANTT (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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