Kimberly Ann Beck Gallaher, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21087 Issued in FL

Practice address

417 5TH Ave Apt 101B
Indialantic, FL 32903-4224

Phone

(321) 327-7889

Fax

(321) 372-3097

NPI assigned

Oct 18, 2010

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

His Business Not Mine IncGroup PAC ID 1658619853, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• His Business Not Mine, Inc

  dba FYZICAL Therapy & Balance Center - Mel Beach

  • Physical Medicine & Rehabilitation Physician
  • Indialantic, FL
  • NPI 1881162659

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1093025561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6486 ARROYO DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408510",
            "telephone_number": "321-591-1182",
            "fax_number": "321-351-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 5TH AVE APT 101B",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034224",
            "telephone_number": "321-327-7889",
            "fax_number": "321-372-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAHER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN BECK",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fortified Physical Therapy, Inc
• Fortuide Wellbeing Inc
• Julie Rachelle Fox, DDS
• Jean Marie C Fuller, PT, DPT
• Patrick Shepard Fuller, PT, DPT
• Candice Gallion, DOM
• Gates Physical Therapy, LLC
• Pamela Renee Gates, DPT
• Jazmine M Gaudet
• Nikolaos Georgios Gavrilis, DDS

• Physical Therapist in Indialantic, FL
• Providers in Indialantic, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.