Paul Kurt Gallardo, OTR/L
Individual provider Active NPI Occupational Therapist · Bayville, NJ
NPI 1164077087 · NPPES record last updated Aug 7, 2019
Key facts
- NPI
- 1164077087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 023606 (NY)
- Practice address
- 70 Serpentine Dr E
Bayville, NJ 08721-3050 - Phone
- (732) 674-9050
- NPI assigned
- Aug 7, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00884100 | NJ | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00884100 | NJ | |
| Occupational Therapist | 225X00000X | 023606 | NY | Yes |
Addresses
Primary practice location
70 Serpentine Dr E
Bayville, NJ 08721-3050
Mailing address
70 Serpentine Dr E
Bayville, NJ 08721-3050
Phone (732) 674-9050
Other providers in Bayville, NJ
- Moshe Frances
- Frank C. Alario, MD, PC
- Janice Freeman Kenney
- Monique Gabriele
- Amish Gada
- Renata Gallo
- Garden State Bariatrics & Wellness Center
- Lynn Gargiulo
- Juneau Mahan Gary
- Genesis
All providers in Bayville, NJ · Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.