Active NPI
Bryan A Gallaer, PT, DPT, ATC
- Physical Therapist
- Cottonwood Heights, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27813
- Practice address
- 1950 E Fort Union Blvd # 2
Cottonwood Heights, UT 84121-6894 - Phone
- (801) 943-1041
- NPI assigned
- Oct 7, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27813 | MA | Primary |
Addresses
Primary practice location
1950 E Fort Union Blvd # 2
Cottonwood Heights, UT 84121-6894
Mailing address
41 Summerfield GDNS
Shelton, CT 06484-6300
Phone (203) 727-4821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11962 S Anthem Park Blvd
Suite 250
Herriman, UT 84096-5732
Phone (801) 981-5171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27813 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
1225 E Fort Union Blvd
Ste 100
Cottonwood Heights, UT 84047
Phone (385) 213-2518
11962 S Anthem Park Blvd
Ste 250
Herriman, UT 84096
Phone (385) 473-6438
1628 W 11010 S
Ste 101
South Jordan, UT 84095
Phone (801) 419-1196
Organizations & group practices 1
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.
-
- Physical Therapist
- South Jordan, UT
- NPI 1194318907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1316766405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 SUMMERFIELD GDNS",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846300",
"telephone_number": "203-727-4821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 E FORT UNION BLVD # 2",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841216894",
"telephone_number": "801-943-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAER",
"first_name": "BRYAN",
"middle_name": "A",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "27813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood Heights, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.