Active NPI
Philip Brent Galloway, DPT
- Sports Physical Therapist
- Vail, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 11712
- Practice address
- 181 W Meadow Dr
Vail, CO 81657-5242 - Phone
- (970) 476-1225
- Fax
- (970) 470-6653
- NPI assigned
- Jun 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 11712 | CO | Primary |
| Physical Therapist | 225100000X | 6184 | SC |
Addresses
Primary practice location
181 W Meadow Dr
Vail, CO 81657-5242
Mailing address
PO Box 40000
Vail, CO 81658-7520
Phone (970) 476-1225
Other practice location 1
320 Beard Creek Rd Ste 1100
Edwards, CO 81632-6433
Phone (970) 569-7777
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | VVMC.DIRECT@direct.vvmc.com | Health Information Exchange (HIE) | VAIL CLINIC INC |
Organizations & group practices 8
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.
-
- Community/Retail Pharmacy
- Vail, CO
- NPI 1679552475
-
- Durable Medical Equipment & Medical Supplies
- Frisco, CO
- NPI 1093461998
-
- Durable Medical Equipment & Medical Supplies
- Edwards, CO
- NPI 1114673415
-
- Durable Medical Equipment & Medical Supplies
- Basalt, CO
- NPI 1215670625
-
- Durable Medical Equipment & Medical Supplies
- Eagle, CO
- NPI 1285380188
-
- Clinic/Center
- Eagle, CO
- NPI 1164077897
-
- General Acute Care Hospital
- Edwards, CO
- NPI 1659151009
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vail Clinic Inc
Practice addresses (Care Compare)
320 Beard Creek Rd
Suite 1100
Edwards, CO 81632-6433
Phone (970) 569-7777
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.38 of 100
- Quality
- 55.42
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 65.85
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210303000123 | CO | Practitioner - Physical Therapist in Private Practice | 0446376776 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6184 | SC | MD | Mental Health Counselor |
| 11712 | CO | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vail Clinic, Inc. | Current | Accepting new patients | |
| Vail Clinic Inc | Current | Accepting new patients | |
| Vail Clinic, Inc. | Current | Accepting new patients |
Locations
1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800
320 Beard Creek Rd
Ste 1100
Edwards, CO 81632
Phone (970) 569-7638
181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225
181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036
Interoperability endpoints
- vvmc.direct@direct.vvmc.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1154632628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40000",
"city": "VAIL",
"state": "CO",
"postal_code": "816587520",
"telephone_number": "970-476-1225",
"fax_number": "970-470-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W MEADOW DR",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "970-476-1225",
"fax_number": "970-470-6653"
}
],
"practiceLocations": [
{
"address_1": "320 Beard Creek Rd Ste 1100",
"address_purpose": "LOCATION",
"city": "Edwards",
"state": "CO",
"postal_code": "816326433",
"country_code": "US",
"telephone_number": "970-569-7777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLOWAY",
"first_name": "PHILIP",
"middle_name": "BRENT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-29",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CO",
"license": "11712",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6184",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "VVMC.DIRECT@direct.vvmc.com",
"affiliation": "Y",
"affiliationName": "VAIL CLINIC INC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "320 Beard Creek Rd Ste 1100",
"city": "Edwards",
"state": "CO",
"country_code": "US",
"postal_code": "816326433",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.