Individual provider Active NPI

Michelle L Gallery, PT

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1407761968
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010416 Issued in MI
Practice address
2930 Knapp St NE
Grand Rapids, MI 49525-7006
Phone
(616) 364-1333
Fax
(616) 447-2440
NPI assigned
Aug 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 5501010416 MI Primary

Addresses

Primary practice location

2930 Knapp St NE
Grand Rapids, MI 49525-7006

Mailing address

2627 Pineview Dr NE
Grand Rapids, MI 49525-6707
Phone (616) 364-1333

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)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1407761968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 PINEVIEW DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256707",
            "telephone_number": "616-364-1333",
            "fax_number": "616-447-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 KNAPP ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257006",
            "telephone_number": "616-364-1333",
            "fax_number": "616-447-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLERY",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.