Individual provider Active NPI

Melissa Elizabeth Gallow, DPT

  • Physical Therapist
  • Dayton, OH
National Provider Identifier
1396005575
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013703 Issued in OH
Practice address
8073 Washington Village Dr
Suite 110
Dayton, OH 45458-1847
Phone
(937) 938-8380
Fax
(937) 938-8392
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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 PT013703 OH Primary

Addresses

Primary practice location

8073 Washington Village Dr
Suite 110
Dayton, OH 45458-1847

Mailing address

8073 Washington Village Dr
Suite 110
Dayton, OH 45458-1847
Phone (937) 938-8380

Other names 1

  • Melissa Elizabeth Hamm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Physical Therapy, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1396005575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8073 WASHINGTON VILLAGE DR",
            "address_2": "SUITE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581847",
            "telephone_number": "937-938-8380",
            "fax_number": "937-938-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8073 WASHINGTON VILLAGE DR",
            "address_2": "SUITE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581847",
            "telephone_number": "937-938-8380",
            "fax_number": "937-938-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOW",
        "first_name": "MELISSA",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT013703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HAMM",
            "middle_name": "ELIZABETH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.