Kelly Nicole Gallo, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

046061 Issued in NY

Practice address

1737 Veterans Memorial Hwy
Islandia, NY 11749-1529

Phone

(631) 869-4082

NPI assigned

Sep 7, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1386258358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANKEL BLVD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 VETERANS MEMORIAL HWY",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491529",
            "telephone_number": "631-869-4082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Newtown Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118034317",
            "country_code": "US",
            "telephone_number": "516-802-2518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLO",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "046061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kayla Filingeri
• Robin Julia Fitzgerald, LPN
• Tina Rose Flanagan, LMHC
• John F Folan, MD
• Ariz Peter Fuentez, M.A. CCC/SLP
• Robert M Gargano, M.D.
• Genovese Drug Stores Inc
• Mary Katherine Geraghty, LCSW
• Kevin Gerard Giannetti, LMHC
• Tracey Gillan, N.P.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.