Galloway Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2501 Issued in AR

Legal business name

GALLOWAY THERAPY PLLC

Practice address

4624 E 43Rd St
North Little Rock, AR 72117-2648

Phone

(501) 319-7659

Fax

(501) 353-2781

NPI assigned

Apr 5, 2010

Organization subpart

No

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

Authorized official

Name

John C Galloway, PTNPI 1538129812

Title

Owner

Phone

(501) 319-7659

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Carldon Galloway, PT

  • Physical Therapist
  • North Little Rock, AR
  • NPI 1538129812
  Medicare reassignment NPD Authorized official
• Carissa Amber Cook, PTA

  • Physical Therapy Assistant
  • North Little Rock, AR
  • NPI 1093234809
  NPD

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1306161104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 E 43RD ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172648",
            "telephone_number": "501-319-7659",
            "fax_number": "501-353-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 E 43RD ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172648",
            "telephone_number": "501-319-7659",
            "fax_number": "501-353-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLOWAY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-319-7659",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Marie Funkhouser, MS, OTR/L
• Erika Rene Funmaker, APRN
• G Friend DDS Ms & M Wilson DDS Ms PA
• Dessari L Gaines
• Gainful Pragmatic Solutions
• John Carldon Galloway, PT
• James Michael Galvin III, D.C.
• Richard Rees Gambel, LMSW
• Alec Gamble
• Gamma Healthcare, Inc

• Physical Therapist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.