Active NPI
Michael Bradley Galloway, OTR/L
- Occupational Therapist
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 120566
- Practice address
- 8845 Gary Burns Dr Ste 100
Frisco, TX 75034-2503 - Phone
- (469) 403-2090
- Fax
- (469) 237-3462
- NPI assigned
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 120566 | TX | Primary |
Addresses
Primary practice location
8845 Gary Burns Dr Ste 100
Frisco, TX 75034-2503
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
3405 Midway Rd Ste 500
Plano, TX 75093-8139
Phone (972) 473-0229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8845 Gary Burns Dr
Suite 100
Frisco, TX 75034-2503
Phone (972) 979-6577
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120566 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
| Athletico LTD | Current | Accepting new patients | |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Ideal Physical Therapy of Texas LLC | Occupational Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
5615 Colleyville Blvd
Ste 130
Colleyville, TX 76034
Phone (817) 576-0995
8845 Gary Burns Dr
Ste 100
Frisco, TX 75034
Phone (469) 403-2090
125 N MacArthur Blvd
Irving, TX 75061
Phone (972) 887-3318
4770 State Highway 121
Ste 130
Lewisville, TX 75056
Phone (469) 664-0026
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
Organizations & group practices 4
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Plano, TX
- NPI 1538573746
Occupational Therapist
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1023696416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8845 GARY BURNS DR STE 100",
"city": "FRISCO",
"state": "TX",
"postal_code": "750342503",
"telephone_number": "469-403-2090",
"fax_number": "469-237-3462"
}
],
"practiceLocations": [
{
"address_1": "3405 Midway Rd Ste 500",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750938139",
"country_code": "US",
"telephone_number": "972-473-0229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLOWAY",
"first_name": "MICHAEL",
"middle_name": "BRADLEY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-29",
"last_updated": "2024-10-29",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "120566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.