Individual provider Active NPI

Jennifer A Gallegos, PT, DPT

  • Orthopedic Physical Therapist
  • Washington, DC
National Provider Identifier
1346735974
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT011069 Issued in GA
Practice address
1100 H St NW Ste LL-110
Washington, DC 20005-5476
Phone
(202) 347-2373
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT011069 GA Primary

Addresses

Primary practice location

1100 H St NW Ste LL-110
Washington, DC 20005-5476

Mailing address

1100 H St NW Ste LL-110
Washington, DC 20005-5476
Phone (202) 347-2373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181010002821 DC Practitioner - Physical Therapist in Private Practice 7517219074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Wellness Center for Physical Therapy and Sportscare LLCGroup PAC ID 5092970798, 14 clinicians

Practice addresses (Care Compare)

1100 H St NW
Suite Ll110
Washington, DC 20005-5476
Phone (202) 347-2373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011069GAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Wellness Center for Physical Therapy and Sportscare, LLC CurrentSince Jul 28, 2022 Accepting new patients

Locations

25 Massachusetts Ave NW
Ste C500
Washington, DC 20001
Phone (202) 808-9496

1100 H St NW
Ste LL110
Washington, DC 20005
Phone (202) 347-2373

1100 H St NW
#110
Washington, DC 20005
Phone (202) 347-2373

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.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1346735974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 H ST NW STE LL-110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200055476",
            "telephone_number": "202-347-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 H ST NW STE LL-110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200055476",
            "telephone_number": "202-347-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT011069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.