NPIMap

Individual provider Active NPI

Nijah Monique Galloway, PT

  • Pediatric Physical Therapist
  • Hawthorne, NY
National Provider Identifier
1295988558
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
024461-1 Issued in NY
Practice address
1 Skyline Dr
Suite 298
Hawthorne, NY 10532-2157
Phone
(914) 347-5990
Fax
(914) 347-5236
NPI assigned
Oct 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 024461-1 NY Primary

Addresses

Primary practice location

1 Skyline Dr
Suite 298
Hawthorne, NY 10532-2157

Mailing address

1 Skyline Dr
Suite 298
Hawthorne, NY 10532-2157
Phone (914) 347-5990

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
024461-1NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidabilities, LLC Past Accepting new patients
Kidabilities LLC Pediatrics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1295988558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SKYLINE DR",
            "address_2": "SUITE 298",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322157",
            "telephone_number": "914-347-5990",
            "fax_number": "914-347-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SKYLINE DR",
            "address_2": "SUITE 298",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322157",
            "telephone_number": "914-347-5990",
            "fax_number": "914-347-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "NIJAH",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "024461-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.