Individual provider Active NPI

Michael W Gallagher, PT,DPT

  • Physical Therapist
  • Saugus, MA
National Provider Identifier
1225302359
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19214 Issued in MA
Practice address
880 Broadway
Saugus, MA 01906-3284
Phone
(978) 352-5510
Fax
(978) 352-5530
NPI assigned
Mar 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19214 MA Primary

Addresses

Primary practice location

880 Broadway
Saugus, MA 01906-3284

Mailing address

880 Broadway
Saugus, MA 01906-3284
Phone (978) 352-5510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000508 MA Practitioner - Physical Therapist in Private Practice 6800058173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Rehabilitation LLCGroup PAC ID 0345232849, 4 clinicians

Practice addresses (Care Compare)

421 Merrimack St
Suite 102
Methuen, MA 01844-5865
Phone (978) 689-4500

Merit-based Incentive Payment System (MIPS)

Final score
21.09 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19214MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Rehabilitation LLC CurrentSince Apr 1, 2014 Accepting new patients
Healthpro Physical Therapy Inc Physical Therapist PastSince Jun 25, 2007 Accepting new patients
Partners in Rehabilitation, L.L.C. PastSince Apr 1, 2014 Accepting new patients

Locations

421 Merrimack St
Ste 102
Methuen, MA 01844
Phone (978) 689-4500

880 Broadway
Saugus, MA 01906
Phone (781) 233-2111

880 Broadway
Ste M
Saugus, MA 01906
Phone (781) 233-2111

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1225302359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 BROADWAY",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063284",
            "telephone_number": "978-352-5510",
            "fax_number": "978-352-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 BROADWAY",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063284",
            "telephone_number": "978-352-5510",
            "fax_number": "978-352-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-07",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.

Verify at the official NPI Registry.