Candace Michelle Gallo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT16594 Issued in FL

Practice address

2000 E. Edgewood Dr.
Suite 114
Lakeland, FL 33803

Phone

(863) 606-5948

Fax

(863) 937-9224

NPI assigned

Aug 31, 2009

Sex

Female

Sole proprietor

No

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.

• Legacy Healthcare Services, Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1336535988

  FL, Occupational Therapist

  Medicare reassignment NPD
• Polk Therapy

  • Physical Therapist
  • Winter Haven, FL
  • NPI 1679522544
  NPD
• Polk Therapy LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Winter Haven, FL
  • NPI 1043233778
  NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services Inc 3,431 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in FL

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

• Candace Hicks Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2023.

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1063645604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E. EDGEWOOD DR.",
            "address_2": "SUITE 114",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33803",
            "telephone_number": "863-606-5948",
            "fax_number": "863-937-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E. EDGEWOOD DR.",
            "address_2": "SUITE 114",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33803",
            "telephone_number": "863-606-5948",
            "fax_number": "863-937-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "CANDACE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "HICKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Henry Galberry, D.D.S.
• Clark Harris Galbraith, MD
• Galencare, Inc.
• Galencare, Inc.
• Alexandria Irene Galindo
• Grant Richard Gamel, D.O.
• Noemi Gamez
• Shaun Corey Gamse, APRN
• Mitzi Marie Gana-Tagle, PT
• Aastha Gandhi, DMD

• All providers in Lakeland, FL
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.