Robert S Gallup, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2474 Issued in CA

Practice address

4150 Clement Street
San Francisco, CA 94121-2199

Phone

(415) 221-4810

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Robert S Gallup Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1356426803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6233",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944030986",
            "telephone_number": "415-221-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212199",
            "telephone_number": "415-221-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUP",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "OTR L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "2474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "GALLUP",
            "middle_name": "S",
            "prefix": "MR.",
            "credential": "OTR L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Omar Christian Gallo Jr.
• Sydney Gallop, PT, DPT
• Briana Galloway, LMFT
• Christopher August Galloway, PH.D.
• Jacqueline Galloway
• Kathryn Galsterer, ACSW
• Zamara Galston
• Edward Michael Galvan
• Jane Alison Galvan, PT
• Michael Eric Galvan, PTA, ATC

• Occupational Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.