Individual provider Active NPI

Susan Lynn Galloway, PT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1386286409
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009753 Issued in OH
Practice address
7685 Beechmont Ave
Cincinnati, OH 45255-4216
Phone
(513) 231-2700
Fax
(512) 231-2666
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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 PT009753 OH Primary

Addresses

Primary practice location

7685 Beechmont Ave
Cincinnati, OH 45255-4216

Mailing address

8625 Toronto CT
Cincinnati, OH 45255-3260
Phone (440) 714-5119

Other practice location 1

4815 Cooper Rd Ste 102
Cincinnati, OH 45242-7076
Phone (513) 891-0934

Other names 1

  • Susan Donley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191126003297 OH Practitioner - Physical Therapist in Private Practice 7416380712 Reassigns benefits to 1 organization
I20250206002360 NC Practitioner - Physical Therapist in Private Practice 7416380712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

10810 Sandy Oak LN
Raleigh, NC 27614-8386
Phone (919) 846-7147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc. Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Center for Balance Related Disorders and Rehabilitation Inc CurrentSince Dec 3, 2019 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients

Locations

2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012

10810 Sandy Oak Ln
Raleigh, NC 27614
Phone (919) 846-7147

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

9402 Towne Square Ave
Ste C45242
Blue Ash, OH 45242
Phone (513) 231-2700

7685 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 231-2700

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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1386286409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 TORONTO CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553260",
            "telephone_number": "440-714-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554216",
            "telephone_number": "513-231-2700",
            "fax_number": "512-231-2666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Cooper Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452427076",
            "country_code": "US",
            "telephone_number": "513-891-0934",
            "fax_number": "513-891-1323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT009753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "DONLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.