Individual provider Active NPI

Kory Taylor Galloway I, OTD, OTR/L

  • Occupational Therapist
  • Murfreesboro, TN
National Provider Identifier
1205505690
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7018 Issued in TN
Practice address
2132 E Main St
Murfreesboro, TN 37130-4043
Phone
(615) 809-2632
NPI assigned
Sep 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7018 TN Primary

Addresses

Primary practice location

2132 E Main St
Murfreesboro, TN 37130-4043

Mailing address

490 Fortress Blvd Apt 13S
Murfreesboro, TN 37128-5173
Phone (731) 234-6027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Special Kids Inc Occupational Therapist CurrentSince Aug 30, 2022 Accepting new patients
SK Therapy Associates, Inc. Occupational Therapist PastSince Jun 1, 2021 Accepting new patients

Locations

2208 E Main St
Murfreesboro, TN 37130
Phone (615) 809-2632

2132 E Main St
Murfreesboro, TN 37130
Phone (615) 809-2632

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1205505690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 FORTRESS BLVD APT 13S",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285173",
            "telephone_number": "731-234-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 E MAIN ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304043",
            "telephone_number": "615-809-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "KORY",
        "middle_name": "TAYLOR",
        "name_suffix": "I",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.