Jacqueline Carla Kelly-Gallello, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01428300 Issued in NJ

Practice address

1161 Burnt Tavern Rd
Brick, NJ 08724

Phone

(732) 458-1755

Fax

(732) 458-6408

NPI assigned

Dec 15, 2011

Last updated

May 18, 2018By 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

• Jacqueline Carla Gallello Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trumotion Physical Therapy LLCGroup PAC ID 5597176313, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Trumotion Physical Therapy LLC

  • Physical Therapist
  • Eatontown, NJ
  • NPI 1619585007
  Medicare reassignment Care Compare group NPD
• Coastal Home Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Belmar, NJ
  • NPI 1316236664

  Physical Therapist

  Medicare reassignment NPD
• Shore Phyx Physical Therapy & Sports Rehabilitation

  • Physical Therapist
  • Point Pleasant Boro, NJ
  • NPI 1366156275
  Medicare reassignment NPD
• Sportscare of America, PC

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1851484380
  Medicare reassignment NPD
• United Sports Care & Physical Therapy

  • Occupational Therapist
  • Cedar Knolls, NJ
  • NPI 1972881233
  Medicare reassignment
• Sportscare Institute, Inc.

  • Physical Therapist
  • Toms River, NJ
  • NPI 1275501074
  NPD (past)

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1235408568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 BURNT TAVERN RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08724",
            "telephone_number": "732-458-1755",
            "fax_number": "732-458-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY-GALLELLO",
        "first_name": "JACQUELINE",
        "middle_name": "CARLA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01428300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "GALLELLO",
            "middle_name": "CARLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristine Cangelosi Keane, PSY.D.
• Sile Keane
• Shawn Keating
• Mackenzie Keefe, PSY.D.
• Patrick Joseph Keelan, OD
• Francis James Kelly, MD
• Morgan Kennedy, SLP
• Kerri Russell-Russo, LCSW & Associates Psychotherapy Services, LLC
• Jennifer J Kesil, P.A.-C
• Kristine Kesselman, RN

• Physical Therapist in Brick, NJ
• Providers in Brick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.