Active NPI
Michael Don Gale, P.T.
- Physical Therapist
- Kennewick, WA
National Provider Identifier
1396795993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00008914
- Practice address
- 7513 W Kennewick Ave
Suite a
Kennewick, WA 99336-7764 - Phone
- (509) 735-4343
- Fax
- (509) 736-5414
- NPI assigned
- May 12, 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 | PT00008914 | WA | Primary |
Addresses
Primary practice location
7513 W Kennewick Ave
Suite a
Kennewick, WA 99336-7764
Mailing address
7513 W Kennewick Ave
Suite a
Kennewick, WA 99336-7764
Phone (509) 735-4343
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8341158 | Medicaid | WA | |
| 0198073 | Other | WA | L&I |
| 1055960147 | Other | WA | BLUECROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7513 W Kennewick Ave
Suite a
Kennewick, WA 99336-7764
Phone (509) 735-4343
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00008914 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gale Physical Therapy & Sports Rehabilitation Center Inc | Physical Therapist | Current | Accepting new patients |
Locations
7513 W Kennewick Ave
Ste A
Kennewick, WA 99336
Phone (509) 735-4343
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.
-
- Physical Therapist
- Kennewick, WA
- NPI 1548292741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197590400000",
"number": "1396795993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7513 W KENNEWICK AVE",
"address_2": "SUITE A",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367764",
"telephone_number": "509-735-4343",
"fax_number": "509-736-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7513 W KENNEWICK AVE",
"address_2": "SUITE A",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367764",
"telephone_number": "509-735-4343",
"fax_number": "509-736-5414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALE",
"first_name": "MICHAEL",
"middle_name": "DON",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2007-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00008914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8341158",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0198073",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "1055960147",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.