Marissa Nartates Gallegos

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

049593-01 Issued in NY

Practice address

1110 2ND Ave RM 302
New York, NY 10022-2021

Phone

(212) 842-0080

NPI assigned

Jan 9, 2023

Last updated

Jan 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Outreach Physical and Occupational Therapy and Speech Rehabilitation,Group PAC ID 2365582665, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC

  • Physical Therapist
  • Great Neck, NY
  • NPI 1841526399
  Medicare reassignment Care Compare group NPD
• Theradynamics Rehab. PT, OT & SLP, PLLC

  • Physical Therapy Clinic/Center
  • Bronx, NY
  • NPI 1912463399

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1356055024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013620",
            "telephone_number": "201-492-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 2ND AVE RM 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222021",
            "telephone_number": "212-842-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103013620",
            "country_code": "US",
            "telephone_number": "201-492-2813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "MARISSA",
        "middle_name": "NARTATES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049593-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgallegos@outreach-rehab.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Physical and Occupational Therapy and Speech Rehabilitation",
            "address_1": "1110 2nd Ave Rm 302",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100222021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zachary Gallate, MD
• Heather Martin Gallego, FNP
• Mariel Ann Gallego, PH.D.
• Jose Gallegos, MD
• Lupe Beatrize Gallegos, RPA-C
• Nancy Hsin-Li Gallen, LAC
• Galleria Medical Associates PLLC
• Galleria Medical Group
• Galleria Pain Management Suite, P.C.
• Galleria Wellness Medical

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.