Active NPI
Megan D Galleron, DPT
- Physical Therapist
- Woodbridge, VA
National Provider Identifier
1265867675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305208246
- Practice address
- 4151 Old Bridge Rd
Woodbridge, VA 22192-7669 - Phone
- (571) 402-1870
- NPI assigned
- Sep 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2305208246 | VA | |
| Physical Therapist | 225100000X | 2305208246 | VA | Primary |
Addresses
Primary practice location
4151 Old Bridge Rd
Woodbridge, VA 22192-7669
Mailing address
13664 Van Doren Rd
Manassas, VA 20112-3805
Phone (571) 422-9186
Other practice location 1
1625 N George Mason Dr
345
Arlington, VA 22205-3683
Phone (703) 522-2727
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305208246 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Spine and Pain PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery of the Spine Physician
- Stafford, VA
- NPI 1255695490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1265867675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13664 VAN DOREN RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201123805",
"telephone_number": "571-422-9186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4151 OLD BRIDGE RD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221927669",
"telephone_number": "571-402-1870"
}
],
"practiceLocations": [
{
"address_1": "1625 N George Mason Dr",
"address_2": "345",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222053683",
"country_code": "US",
"telephone_number": "703-522-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLERON",
"first_name": "MEGAN",
"middle_name": "D",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "2305208246",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
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.