Active NPI
Galloway Chiropractic and Sports Rehab, LLC
- Sports Physician Chiropractor
- Temple Terrace, FL
National Provider Identifier
1376860445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH9352
- Legal business name
- GALLOWAY CHIROPRACTIC AND SPORTS REHAB, LLC
- Practice address
- 6963 E Fowler Ave
Temple Terrace, FL 33617-1714 - Phone
- (813) 253-3111
- Fax
- (813) 514-0108
- NPI assigned
- Apr 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Galloway III, D.C.
- Title
- Chiropractor
- Phone
- (813) 253-3111
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CH9352 | FL | Primary |
| Internal Medicine Physician | 207R00000X | ME101995 | FL |
Addresses
Primary practice location
6963 E Fowler Ave
Temple Terrace, FL 33617-1714
Mailing address
6963 E Fowler Ave
Temple Terrace, FL 33617-1714
Phone (813) 253-3111
National Provider Directory
National Provider DirectoryLocations
6963 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 253-3111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Tampa, FL
- NPI 1639536329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382572800000",
"number": "1376860445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6963 E FOWLER AVE",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336171714",
"telephone_number": "813-253-3111",
"fax_number": "813-514-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6963 E FOWLER AVE",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336171714",
"telephone_number": "813-253-3111",
"fax_number": "813-514-0108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALLOWAY CHIROPRACTIC AND SPORTS REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-28",
"last_updated": "2013-10-24",
"status": "A",
"authorized_official_last_name": "GALLOWAY",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "813-253-3111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "FL",
"license": "CH9352",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME101995",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.