Individual provider Active NPI

Douglas Anthony Galvin, MHS PT OCS

  • Physical Therapist
  • Mt Orab, OH
National Provider Identifier
1023077179
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT05572 Issued in OH
Practice address
155 Northpoint Dr
Mt Orab, OH 45154
Phone
(937) 444-2933
Fax
(937) 444-2924
NPI assigned
Mar 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PT05572 OH Primary

Addresses

Primary practice location

155 Northpoint Dr
Mt Orab, OH 45154

Mailing address

155 Northpoint Dr
Mt Orab, OH 45154
Phone (937) 444-2933

Other identifiers 1

IdentifierTypeStateIssuer
2282060MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091029000390 OH Practitioner - Physical Therapist in Private Practice 9436296142 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT05572OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastgate Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Eastgate Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023077179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 NORTHPOINT DR",
            "city": "MT ORAB",
            "state": "OH",
            "postal_code": "45154",
            "telephone_number": "937-444-2933",
            "fax_number": "937-444-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NORTHPOINT DR",
            "city": "MT ORAB",
            "state": "OH",
            "postal_code": "45154",
            "telephone_number": "937-444-2933",
            "fax_number": "937-444-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVIN",
        "first_name": "DOUGLAS",
        "middle_name": "ANTHONY",
        "credential": "MHS PT OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT05572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2282060",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Orab, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.