Christopher J Gallo, MSPT,CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13642 Issued in CA

Practice address

1211 N Dutton Ave
Santa Rosa, CA 95401-4660

Phone

(707) 579-1411

Fax

(707) 579-3044

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316028426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ZINFANDEL DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949547415",
            "telephone_number": "707-778-1808",
            "fax_number": "707-778-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N DUTTON AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014660",
            "telephone_number": "707-579-1411",
            "fax_number": "707-579-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MSPT,CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quenby Lel Gallahan, LMFT
• Nicole Adele Gallaher, PHARMD
• Michelle N Gallardo, MD
• Gail Ann Gallette, LMFT
• Kristin Jean Gallinot, PA-C
• Thai Lynn Gallo
• Wendy Galvan Tovar
• Panida Galviroj, D.M.D.
• Brian Gambardella, MD
• Lauren Dakota Gamble

• Physical Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.