Individual provider Active NPI

Patrick Gallagher, DPT

  • Physical Therapist
  • Belle Chasse, LA
National Provider Identifier
1063204311
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12064 Issued in LA
Practice address
102 Woodland Hwy
Belle Chasse, LA 70037-1674
Phone
(504) 362-1000
Fax
(504) 584-7747
NPI assigned
May 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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 12064 LA Primary

Addresses

Primary practice location

102 Woodland Hwy
Belle Chasse, LA 70037-1674

Mailing address

1610 Belle Chasse Hwy
Terrytown, LA 70056-7056
Phone (504) 362-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250611003730 LA Practitioner - Physical Therapist in Private Practice 6305356973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic Physical Therapy, LLCGroup PAC ID 2860822731, 10 clinicians

Practice addresses (Care Compare)

102 Woodland Hwy
Suite 1
Belle Chasse, LA 70037-1674
Phone (504) 392-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12064LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Physical Therapy, LLC Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients

Locations

102 Woodland Hwy
Ste 1
Belle Chasse, LA 70037
Phone (504) 392-7000

27136 Highway 23
Ste E
Port Sulphur, LA 70083
Phone (504) 392-7000

27136 Highway 23
Port Sulphur, LA 70083
Phone (504) 392-7000

1610 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 362-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1063204311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 BELLE CHASSE HWY",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567056",
            "telephone_number": "504-362-1000",
            "fax_number": "504-584-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WOODLAND HWY",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371674",
            "telephone_number": "504-362-1000",
            "fax_number": "504-584-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "12064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Chasse, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.