Organization Active NPI

Nassau Sports Physical Therapy of Huntington PC

Doing business as Michael H Gallagher PT

  • Specialist
  • Huntington, NY
National Provider Identifier
1164697801
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
009165-1 Issued in NY
Legal business name
NASSAU SPORTS PHYSICAL THERAPY OF HUNTINGTON PC
Doing business as
Michael H Gallagher PT
Practice address
200 W Carver St
Suite 4
Huntington, NY 11743-3303
Phone
(631) 385-1155
Fax
(631) 385-0813
NPI assigned
Apr 24, 2008
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Michael H Gallagher, PT
Title
President
Phone
(631) 385-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 009165-1 NY Primary

Addresses

Primary practice location

200 W Carver St
Suite 4
Huntington, NY 11743-3303

Mailing address

200 W Carver St
Suite 4
Huntington, NY 11743-3303
Phone (631) 385-1155

Other names 1

  • MICHAEL H GALLAGHER PT Doing business as

National Provider Directory

National Provider Directory

Locations

200 W Carver St
Ste 4
Huntington, NY 11743
Phone (631) 385-1155

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1164697801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CARVER ST",
            "address_2": "SUITE 4",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433303",
            "telephone_number": "631-385-1155",
            "fax_number": "631-385-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CARVER ST",
            "address_2": "SUITE 4",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433303",
            "telephone_number": "631-385-1155",
            "fax_number": "631-385-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU SPORTS PHYSICAL THERAPY OF HUNTINGTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-385-1155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "009165-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICHAEL H GALLAGHER PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.