Robert Gallagher Jr., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL881 Issued in FL

Practice address

2675 Sabal Springs Cir
#204
Clearwater, FL 33761-3155

Phone

(727) 804-6875

NPI assigned

Jun 3, 2010

Last updated

Jun 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1306166020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 SABAL SPRINGS CIR",
            "address_2": "#204",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 SABAL SPRINGS CIR",
            "address_2": "#204",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613155",
            "telephone_number": "727-804-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijayakrishna Gadiyaram, M.D.
• Marcia Gainer, ARNP
• Denise Marie Gaines
• Holly Galaris
• Beverly Becker Gallagher, SLP
• Luz A Gallego
• Adam Patrick Galley, PHARMD
• Veronica Ann Gallo
• Enrique Yambao Galura, M.D.
• Robert Gambaro Jr., L.M.T.

• Athletic Trainer in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.