Erin Gallardo, PT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

33890 Issued in CA

Practice address

435 Manhattan Ave Apt C
Hermosa Beach, CA 90254-4578

Phone

(614) 282-9218

NPI assigned

Aug 30, 2012

Last updated

Aug 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Erin Caudill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1215286729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 MANHATTAN AVE APT C",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544578",
            "telephone_number": "614-282-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 MANHATTAN AVE APT C",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544578",
            "telephone_number": "614-282-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "ERIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "33890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "CAUDILL",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ezra Theodore Fraser, M.D.
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• Stephanie Galindo
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• Gary G Tse MD Inc

• Neurology Physical Therapist in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Neurology Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.