Active NPI
Joseph Anthony Gallo, AT, PT
- Athletic Trainer
- Salem, MA
National Provider Identifier
1285238337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 538
- Practice address
- 352 Lafayette St
Salem, MA 01970-5348 - Phone
- (978) 882-5588
- NPI assigned
- Nov 29, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9439 | MA | |
| Athletic Trainer | 2255A2300X | 538 | MA | Primary |
Addresses
Primary practice location
352 Lafayette St
Salem, MA 01970-5348
Mailing address
1 Riverview Ave
Salem, MA 01970-4317
Phone (781) 690-0205
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Salem | Other | |
| Other URL | Salem | Other |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 538 | MA | MD | Mental Health Counselor |
| 9439 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1285238337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RIVERVIEW AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "019704317",
"telephone_number": "781-690-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 LAFAYETTE ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019705348",
"telephone_number": "978-882-5588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLO",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"credential": "AT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-29",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "9439",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "538",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Salem",
"affiliation": "N",
"endpointDescription": "Office",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Salem",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Salem",
"address_1": "352 Lafayette St",
"city": "Salem",
"state": "MA",
"country_code": "US",
"postal_code": "019705348",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Salem",
"affiliation": "N",
"endpointDescription": "email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Salem",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Salem",
"address_1": "352 Lafayette St",
"city": "Salem",
"state": "MA",
"country_code": "US",
"postal_code": "019705348",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.