Kristen Galloway

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT19865 Issued in FL

Practice address

124 Stadium CT
Ponte Vedra Beach, FL 32082-3152

Phone

(757) 651-0183

NPI assigned

Oct 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1043648025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 STADIUM CT",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823152",
            "telephone_number": "757-651-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 STADIUM CT",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823152",
            "telephone_number": "757-651-0183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 N Federal Hwy",
            "address_2": "Ste. 2 south",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330646519",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Frazier
• Functional Movement LLC
• Brittany P Fussell
• Melissa Gagliardi, ARNP
• Chelsey Gallegos
• Susan Gambardella
• Gregory Lee Garamoni, PHD
• Garcia Aesthetic & Wellness Center Inc
• Garcia Institute Ponte Vedra LLC
• Roberto Eloy Garcia, MD

• Occupational Therapist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.