Individual provider Active NPI

Neil Gallagher

  • Physical Therapist
  • Orangeburg, SC
National Provider Identifier
1053901405
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2650 Saint Matthews Rd
Orangeburg, SC 29118-1344
Phone
(803) 536-5509
NPI assigned
Jan 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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 Primary

Addresses

Primary practice location

2650 Saint Matthews Rd
Orangeburg, SC 29118-1344

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210310000277 SC Practitioner - Physical Therapist in Private Practice 6608282090 Reassigns benefits to 1 organization
I20220131000925 PA Practitioner - Physical Therapist in Private Practice 6608282090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Physical Therapy Associates, LLCGroup PAC ID 0648244640, 6 clinicians

Practice addresses (Care Compare)

1338 Bristol Pike
Suite 203
Bensalem, PA 19020-5679
Phone (215) 633-9080

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy LLC CurrentSince Feb 1, 2021 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Feb 21, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Feb 21, 2022 Accepting new patients
Cornerstone Physical Therapy Associates, LLC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

33205 Collection Ctr Dr
Chicago, IL 60693

1338 Bristol Pike
Ste 203
Bensalem, PA 19020
Phone (215) 633-9080

740 Edison Furlong Rd
Furlong, PA 18925
Phone (215) 794-2611

634 Old York Rd
Jenkintown, PA 19046
Phone (215) 881-9181

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

2650 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 536-5509

Organizations & group practices 5

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": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1053901405",
    "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": "2650 SAINT MATTHEWS RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181344",
            "telephone_number": "803-536-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "NEIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.