Active NPI
Joelle Gallick, PT, DPT
- Physical Therapist
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004959
- Practice address
- 3209 Ingersoll Ave
Suite 100
Des Moines, IA 50312-3929 - Phone
- (515) 282-4560
- Fax
- (515) 282-4570
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004959 | IA | Primary |
Addresses
Primary practice location
3209 Ingersoll Ave
Suite 100
Des Moines, IA 50312-3929
Mailing address
3209 Ingersoll Ave
Suite 100
Des Moines, IA 50312-3929
Phone (515) 282-4560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1604 NW State St
Suite 101And102 Athletico Physical Therapy
Ankeny, IA 50023-1464
Phone (515) 965-4594
1704 Ingersoll Ave
Suite 101
Des Moines, IA 50309-3332
Phone (515) 282-4560
1709 N Jefferson Way
Suite 100 Athletico Physical Therapy
Indianola, IA 50125-1459
Phone (515) 962-9272
1850 Sunset Dr
Suite 102
Norwalk, IA 50211-1365
Phone (515) 953-1310
2918 E University Ave
Athletico Physical Therapy
Des Moines, IA 50317-8236
Phone (515) 265-8272
3160 8TH St SW
Suite 1 Athletico Physical Therapy
Altoona, IA 50009-1023
Phone (515) 967-4580
3252 Ridge PT
Bettendorf, IA 52722-5312
Phone (563) 332-4995
452 -454 SE University Ave
Athletico Physical Therapy
Waukee, IA 50263-8121
Phone (515) 987-0465
5045 Bentley Dr
Suite 190
West Des Moines, IA 50265-7010
Phone (515) 226-1616
8000 Douglas Ave
Urbandale, IA 50322-2450
Phone (515) 251-3700
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004959 | IA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Eastern Iowa Therapeutics PC | Physical Therapist | Past | Accepting new patients |
| Therapy Services of Iowa Inc | Physical Therapist | Past | Accepting new patients |
Locations
3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995
2918 E University Ave
Des Moines, IA 50317
Phone (515) 265-8272
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
Organizations & group practices 4
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.
-
- Physical Therapist
- Des Moines, IA
- NPI 1407801228
-
- Physical Therapist
- Chicago, IL
- NPI 1023064144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1174878938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 INGERSOLL AVE",
"address_2": "SUITE 100",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503123929",
"telephone_number": "515-282-4560",
"fax_number": "515-282-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 INGERSOLL AVE",
"address_2": "SUITE 100",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503123929",
"telephone_number": "515-282-4560",
"fax_number": "515-282-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLICK",
"first_name": "JOELLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.