Active NPI
Jonathan E Gallas
- Physical Therapist
- Rockford, IL
National Provider Identifier
1396770079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070013251
- Practice address
- 5875 E Riverside Blvd
Rockford, IL 61114-4937 - Phone
- (815) 398-9491
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070013251 | IL | Primary |
Addresses
Primary practice location
5875 E Riverside Blvd
Rockford, IL 61114-4937
Mailing address
PO Box 735263
Chicago, IL 60673-5263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 Logan Ave
Belvidere, IL 61008-4001
Phone (815) 547-4733
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.02 of 100
- Quality
- 68.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Race Day Education Performance LLC | Current | Accepting new patients | |
| Belvidere Rehab & Sports Medicine | Physical Therapist | Current | Accepting new patients |
| Ortho Rehab Specialists PLLC | Physical Therapist | Current | Accepting new patients |
| Accelerated Rehabilitation Centers LTD | Physical Therapist | Past | Accepting new patients |
Locations
1255 Logan Ave
Belvidere, IL 61008
Phone (815) 547-4733
2662 McFarland Rd
Rockford, IL 61107
Phone (815) 226-8780
Interoperability endpoints
- jonathan.gallas@ro.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Physical Therapist
- Rockford, IL
- NPI 1891330882
-
- Orthopedic Physical Therapist
- Loves Park, IL
- NPI 1730864380
-
- Orthopaedic Surgery Physician
- Rockford, IL
- NPI 1730136474
-
- Physical Therapist
- Belvidere, IL
- NPI 1619922515
-
- Physical Therapist
- Westmont, IL
- NPI 1205875713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1396770079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735263",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 E RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611144937",
"telephone_number": "815-398-9491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAS",
"first_name": "JONATHAN",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070013251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.