Alicia Anne Galis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT022426 Issued in PA

Practice address

625 Walnut St
McKeesport, PA 15132-2806

Phone

(412) 673-5005

NPI assigned

Nov 7, 2012

Last updated

Sep 9, 2015By 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 PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Physical Therapy and Wellness LLCGroup PAC ID 6305275314, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Elite Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Rostraver TWP, PA
  • NPI 1104465343
  Medicare reassignment Care Compare group NPD
• Core Network, LLC

  dba UPMC Rehabilitation Institute

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1871551028
  NPD (past)

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1144574567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 JOHNSON RD",
            "address_2": "SUITE 303",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 WALNUT ST",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322806",
            "telephone_number": "412-673-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALIS",
        "first_name": "ALICIA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Shawnda Freeman
• Rocco A Fulciniti, M.D.
• Deanne Fulmer
• Layne Gable
• Mamatha Gajulavarthi
• Christina Gallagher
• Christopher Gamble
• Haritha Gandicheruvu, M.D.
• Bernadette Gapinski, PT
• Stephanie Garee

• Physical Therapist in McKeesport, PA
• Providers in McKeesport, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.