Individual provider Active NPI

Todd Gally, MPT

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1073740171
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013297L Issued in PA
Practice address
224 Queensberry CT
Pittsburgh, PA 15237-3334
Phone
(412) 427-5443
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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 PT013297L PA Primary

Addresses

Primary practice location

224 Queensberry CT
Pittsburgh, PA 15237-3334

Mailing address

224 Queensberry CT
Pittsburgh, PA 15237-3334
Phone (412) 427-5443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000049 PA Practitioner - Physical Therapist in Private Practice 9638202963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Orthopaedics and Sports Medicine, Inc.Group PAC ID 2365342284, 59 clinicians

Practice addresses (Care Compare)

4955 Steubenville Pike
Suite 120
Pittsburgh, PA 15205-9604
Phone (412) 787-7582

Merit-based Incentive Payment System (MIPS)

Final score
93.13 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013297LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Orthopaedics & Sports Medicine, Inc. CurrentSince Jun 1, 2010 Accepting new patients
Tri-State Orthopaedics & Sports Medicine, Inc. CurrentSince Jun 1, 2010 Accepting new patients

Locations

4955 Steubenville Pike
Ste 120
Pittsburgh, PA 15205
Phone (412) 722-1180

5900 Corporate Dr
Ste 200
Pittsburgh, PA 15237
Phone (412) 369-4000

Organizations & group practices 2

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1073740171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 QUEENSBERRY CT",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373334",
            "telephone_number": "412-427-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 QUEENSBERRY CT",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373334",
            "telephone_number": "412-427-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLY",
        "first_name": "TODD",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013297L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.