IndividualActive
Tabitha Ganske, PTA
NPI 1164023982 · Physical Medicine & Rehabilitation Physician · Glen Carbon, IL
Provider details
- NPI number
- 1164023982
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 2019027272 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
27 Auerbach Pl
Glen Carbon, IL 62034-1596
Phone: (618) 288-3700
Street-level locationGet directions
Mailing address
106 Echo Valley Dr
Collinsville, IL 62234-1498
Registry dates
- Enumerated
- 2020-11-06
- Last updated
- 2020-11-06
- Certified
- 2020-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.