Organization Active NPI

Charles Gallagher PT, PS

  • Physical Therapy Clinic/Center
  • Spokane, WA
National Provider Identifier
1003038266
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT00007501 Issued in WA
Legal business name
CHARLES GALLAGHER PT, PS
Doing business as
The Institute for Physical and Spors Therapy
Practice address
11402 N Newport Hwy
Suite B
Spokane, WA 99218-1616
Phone
(509) 464-1813
Fax
(509) 464-4813
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Mrs. Julie Ann Gallagher
Title
Billing Manager
Phone
(209) 464-1813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT00007501 WA Primary

Addresses

Primary practice location

11402 N Newport Hwy
Suite B
Spokane, WA 99218-1616

Mailing address

11402 N Newport Hwy
Suite B
Spokane, WA 99218-1616
Phone (509) 464-1813

Other identifiers 1

IdentifierTypeStateIssuer
7102288MedicaidWA

Other names 1

  • The Institute for Physical and Spors Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

10109 N Nevada St
Ste C
Spokane, WA 99218
Phone (509) 464-1813

11402 N Newport Hwy
Ste B
Spokane, WA 99218
Phone (509) 464-1813

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1003038266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 N NEWPORT HWY",
            "address_2": "SUITE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181616",
            "telephone_number": "509-464-1813",
            "fax_number": "509-464-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 N NEWPORT HWY",
            "address_2": "SUITE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181616",
            "telephone_number": "509-464-1813",
            "fax_number": "509-464-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES GALLAGHER PT, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "209-464-1813",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00007501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7102288",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Institute for Physical and Spors Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.