Individual provider Active NPI

Michael Don Gale, P.T.

  • Physical Therapist
  • Kennewick, WA
National Provider Identifier
1396795993
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008914 Issued in WA
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

Updated by the provider on Dec 14, 2007

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 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

IdentifierTypeStateIssuer
8341158MedicaidWA
0198073OtherWAL&I
1055960147OtherWABLUECROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060719000043 WA Practitioner - Physical Therapist in Private Practice 0244243145 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PT00008914WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gale Physical Therapy & Sports Rehabilitation Center Inc Physical Therapist CurrentSince Aug 7, 2006 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.

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.

Verify at the official NPI Registry.