Individual provider Active NPI

Gala Sue Malherbe, PT

  • Physical Therapist
  • Ishpeming, MI
National Provider Identifier
1013299239
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010025 Issued in MI
Practice address
820 Carp River LN
Ishpeming, MI 49849-3187
Phone
(906) 204-7400
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501010025 MI Primary

Addresses

Primary practice location

820 Carp River LN
Ishpeming, MI 49849-3187

Mailing address

820 Carp River LN
Ishpeming, MI 49849-3187
Phone (906) 204-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815003989 MI Practitioner - Physical Therapist in Private Practice 4385182757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Central Michigan College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Active Partners LLCGroup PAC ID 5890920045, 10 clinicians

Practice addresses (Care Compare)

820 Carp River LN
Suite 2
Ishpeming, MI 49849-3187
Phone (906) 204-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501010025MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Active Partners LLC Physical Therapist CurrentSince Jun 9, 2024 Accepting new patients

Locations

820 Carp River Ln
Ste 2
Ishpeming, MI 49849
Phone (906) 204-7400

111 W Division St
Ishpeming, MI 49849
Phone (906) 204-7400

820 Carp River Ln
#2
Ishpeming, MI 49849
Phone (906) 204-7400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1013299239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CARP RIVER LN",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498493187",
            "telephone_number": "906-204-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CARP RIVER LN",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498493187",
            "telephone_number": "906-204-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHERBE",
        "first_name": "GALA",
        "middle_name": "SUE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ishpeming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.