Individual provider Active NPI

Krista Paige Galley, PT, DPT

  • Physical Therapist
  • Orchard Park, NY
National Provider Identifier
1386112357
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043812 Issued in NY
Practice address
260 Red Tail Rd
Orchard Park, NY 14127-1562
Phone
(716) 250-6551
Fax
(716) 250-6555
NPI assigned
Nov 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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 043812 NY Primary

Addresses

Primary practice location

260 Red Tail Rd
Orchard Park, NY 14127-1562

Mailing address

3925 Sheridan Drive
Amherst, NY 14226-1738
Phone (716) 250-6500

Other practice location 1

3376 Niagara Falls Blvd
North Tonawanda, NY 14120-1396
Phone (716) 418-7526

Other names 1

  • Krista Paige Syracuse Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181203000255 NY Practitioner - Physical Therapist in Private Practice 3173867165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelsior Orthopaedics LLPGroup PAC ID 2062491517, 146 clinicians

Practice addresses (Care Compare)

3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-9999

Merit-based Incentive Payment System (MIPS)

Final score
89.79 of 100Reported as group
Quality
89.94
Promoting interoperability
88
Improvement activities
40
Cost
82.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043812NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Orthopaedics, LLP CurrentSince Oct 21, 2019 Accepting new patients
Excelsior Orthopaedics LLP Physical Therapist CurrentSince Oct 21, 2019 Accepting new patients
Encompass Health Rehabilitation Hospital of Florence, Inc. PastSince Nov 7, 2018 Accepting new patients

Locations

3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500

260 Red Tail Rd
Orchard Park, NY 14127
Phone (716) 675-5711

2540 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 862-0567

Interoperability endpoints

  • Direct secure messaging: kgalley@excelsiorortho.medentdirect.com

Organizations & group practices 3

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": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1386112357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 SHERIDAN DRIVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261738",
            "telephone_number": "716-250-6500",
            "fax_number": "716-250-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 RED TAIL RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271562",
            "telephone_number": "716-250-6551",
            "fax_number": "716-250-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3376 Niagara Falls Blvd",
            "address_purpose": "LOCATION",
            "city": "North Tonawanda",
            "state": "NY",
            "postal_code": "141201396",
            "country_code": "US",
            "telephone_number": "716-418-7526",
            "fax_number": "716-389-0482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLEY",
        "first_name": "KRISTA",
        "middle_name": "PAIGE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "SYRACUSE",
            "middle_name": "PAIGE",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.