Individual provider Active NPI

Ron Gallien, PT OCS

  • Physical Therapist
  • Alamogordo, NM
National Provider Identifier
1336273077
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1804 Issued in NM
Practice address
1809 Indian Wells Rd
Alamogordo, NM 88310-4617
Phone
(505) 437-1967
Fax
(505) 437-3969
NPI assigned
Mar 15, 2007
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1804 NM Primary

Addresses

Primary practice location

1809 Indian Wells Rd
Alamogordo, NM 88310-4617

Mailing address

1809 Indian Wells Rd
Alamogordo, NM 88310-4617
Phone (575) 437-1967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040604000168 NM Practitioner - Physical Therapist in Private Practice 6800878885 Reassigns benefits to 1 organization
1 other NPI on this enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gallien IncGroup PAC ID 6103808175, 4 clinicians

Practice addresses (Care Compare)

1809 Indian Wells Rd
Alamogordo, NM 88310-4617
Phone (505) 437-1967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1804NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gallien Inc Physical Therapist CurrentSince Apr 8, 2004 Accepting new patients

Locations

1451 Galway Dr
Alamogordo, NM 88310
Phone (575) 437-1967

1809 Indian Wells Rd
Alamogordo, NM 88310
Phone (505) 437-1967

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1336273077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 INDIAN WELLS RD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104617",
            "telephone_number": "575-437-1967",
            "fax_number": "575-437-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 INDIAN WELLS RD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104617",
            "telephone_number": "505-437-1967",
            "fax_number": "505-437-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIEN",
        "first_name": "RON",
        "credential": "PT OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.

Verify at the official NPI Registry.