Earl Darrell Gallow Jr., CPT

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

19150 Acorn Rd Ste 103
Fort Myers, FL 33967-3657

Phone

(239) 267-3133

NPI assigned

Oct 15, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• San Carlos Chiropractic Inc

  • Chiropractor
  • Fort Myers, FL
  • NPI 1447363882
  NPD

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1235959172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18441 GERANIUM RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339673322",
            "telephone_number": "719-505-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19150 ACORN RD STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339673657",
            "telephone_number": "239-267-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOW",
        "first_name": "EARL",
        "middle_name": "DARRELL",
        "name_suffix": "Jr.",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolas Gallardo
• Mary A Gallaway, MD
• Rolando Gallegos
• Susan Gallen, LCSW
• Yeisy Gallo
• Galloway Anesthesia Associates LLC
• Geraldine Galloway, APRN
• Jonathan Gallup Gallup, LMT
• Galo Constante MD PA
• Mark Galsterer, DMD,MSD

• Health & Wellness Coach in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Health & Wellness Coach in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.