Individual provider Active NPI

Daisy Florentino Galang, PT

  • Physical Therapist
  • Sikeston, MO
National Provider Identifier
1265797237
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 111934 Issued in MO
Practice address
640 Colonel George E Day Pkwy
Sikeston, MO 63801-3806
Phone
(573) 417-0466
Fax
(573) 471-4918
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 PT 111934 MO Primary

Addresses

Primary practice location

640 Colonel George E Day Pkwy
Sikeston, MO 63801-3806

Mailing address

640 Colonel George E Day Pkwy
Sikeston, MO 63801-3806
Phone (573) 417-0466

Other practice location 1

918 Pine St
Sikeston, MO 63801-5700
Phone (573) 475-0086

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 111934MOMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265797237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 COLONEL GEORGE E DAY PKWY",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013806",
            "telephone_number": "573-417-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 COLONEL GEORGE E DAY PKWY",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013806",
            "telephone_number": "573-417-0466",
            "fax_number": "573-471-4918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "918 Pine St",
            "address_purpose": "LOCATION",
            "city": "Sikeston",
            "state": "MO",
            "postal_code": "638015700",
            "country_code": "US",
            "telephone_number": "573-475-0086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALANG",
        "first_name": "DAISY",
        "middle_name": "FLORENTINO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "PT 111934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.