James Richard Gallanty, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT9548 Issued in CA

Practice address

2877 Lake Tahoe Blvd
Suite D
South Lake Tahoe, CA 96150

Phone

(530) 541-7133

Fax

(530) 541-7132

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mind Body Physical Therapy P.C.

  dba Ridgecrest Physical Therapy

  • Physical Therapist
  • Ridgecrest, CA
  • NPI 1184170995
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225197965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9451",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "96158",
            "telephone_number": "530-541-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2877 LAKE TAHOE BLVD",
            "address_2": "SUITE D",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "96150",
            "telephone_number": "530-541-7133",
            "fax_number": "530-541-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLANTY",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "620361",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Allison Fries
• Jennifer Ann Fuller
• Catherine Gaehwiler, PA
• Nattili Galien
• Laurie Claire Gallagher, LCSW
• Megan Jo Galloway, CNM
• Sheree Ganske, LMT
• Cynthia Ellena Garcia
• T.C. Nicholas B Garcia II
• Ronald Gareis

• Physical Therapist in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.