Active NPI
John William Gallagher, PT, DPT
- Orthopedic Physical Therapist
- Atlanta, GA
National Provider Identifier
1245088616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT017072
- Practice address
- 5671 Peachtree Dunwoody Rd Ste 900
Atlanta, GA 30342-5022 - Phone
- (404) 847-9999
- NPI assigned
- May 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT017072 | GA | Primary |
Addresses
Primary practice location
5671 Peachtree Dunwoody Rd Ste 900
Atlanta, GA 30342-5022
Mailing address
2041 Mesa Valley Way Ste 100
Austell, GA 30106-6856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017072 | GA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Georgia Luna Care Physical Therapy LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Past | Accepting new patients |
Locations
21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516
260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870
1968 Hawks Ln NE
Brookhaven, GA 30329
Phone (404) 251-2537
1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490
Interoperability endpoints
- jack.gallagher.1@15749.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Lithonia, GA
- NPI 1346119831
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1821760976
-
- Physical Therapy Clinic/Center
- Brookhaven, GA
- NPI 1720097561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1245088616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 MESA VALLEY WAY STE 100",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301066856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5671 PEACHTREE DUNWOODY RD STE 900",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303425022",
"telephone_number": "404-847-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT017072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.