Individual provider Active NPI

Josh Galligan, PTA

  • Physical Therapy Assistant
  • Golden, CO
National Provider Identifier
1255014973
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0015397 Issued in CO
Practice address
4670 Table Mountain Dr
Golden, CO 80403-1602
Phone
(303) 279-6000
Fax
(303) 279-7799
NPI assigned
Aug 9, 2023
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0015397 CO Primary

Addresses

Primary practice location

4670 Table Mountain Dr
Golden, CO 80403-1602

Mailing address

4670 Table Mountain Dr
Golden, CO 80403-1602
Phone (303) 279-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0015397COMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level Physical Therapy PC Physical Therapist CurrentSince Aug 13, 2023 Accepting new patients
Next Level Physical Therapy PC Physical Therapist PastSince Aug 13, 2023 Accepting new patients

Locations

4670 Table Mountain Dr
Golden, CO 80403
Phone (303) 279-6000

Organizations & group practices 2

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1255014973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 TABLE MOUNTAIN DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031602",
            "telephone_number": "303-279-6000",
            "fax_number": "303-279-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 TABLE MOUNTAIN DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031602",
            "telephone_number": "303-279-6000",
            "fax_number": "303-279-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIGAN",
        "first_name": "JOSH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0015397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.