Individual provider Active NPI

Jeffrey Laray Gale, DPT, PT

  • Physical Therapist
  • St George, UT
National Provider Identifier
1114418167
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11774299-2401 Issued in UT
Practice address
617 E Riverside Dr
St George, UT 84790-8719
Phone
(435) 673-4303
NPI assigned
May 25, 2018
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11774299-2401 UT Primary
Physical Therapist 225100000X 5074 NV

Addresses

Primary practice location

617 E Riverside Dr
St George, UT 84790-8719

Mailing address

617 E Riverside Dr
St George, UT 84790-8719
Phone (435) 673-4303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210226002456 UT Practitioner - Physical Therapist in Private Practice 0446506810 Reassigns benefits to 1 organization
I20231107003773 NV Practitioner - Physical Therapist in Private Practice 0446506810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marchant Physical Therapy and Wellness IncGroup PAC ID 5890693055, 18 clinicians

Practice addresses (Care Compare)

340 Falcon Ridge Pkwy
Suite 500
Mesquite, NV 89027-8850
Phone (702) 346-3100

585 E Riverside Dr
Suite 104
St George, UT 84790-7141
Phone (435) 673-4303

Merit-based Incentive Payment System (MIPS)

Final score
63.42 of 100Reported as group
Quality
45.41
Improvement activities
40
Cost
78.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
11774299-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marchant Physical Therapy & Wellness, Inc. Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients
Dixie Hearing & Balance Center Past Accepting new patients

Locations

340 Falcon Ridge Pkwy
#500
Mesquite, NV 89027
Phone (702) 346-3100

340 Falcon Ridge Pkwy
Bldg 500
Mesquite, NV 89027
Phone (435) 688-8991

617 E Riverside Dr
Ste 303
St George, UT 84790
Phone (435) 652-4455

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, 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": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1114418167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E RIVERSIDE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908719",
            "telephone_number": "435-673-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E RIVERSIDE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908719",
            "telephone_number": "435-673-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALE",
        "first_name": "JEFFREY",
        "middle_name": "LARAY",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11774299-2401",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "5074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.