Individual provider Active NPI

Pamela Lynne Gallagher, OTR/L, CHT

  • Hand Occupational Therapist
  • Northfield, NJ
National Provider Identifier
1417194101
Registry record updated Aug 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
46TR00127600 Issued in NJ
Practice address
801 Tilton Rd
Northfield, NJ 08225-1265
Phone
(609) 645-0505
Fax
(609) 645-7437
NPI assigned
Jan 16, 2009
Last updated
Aug 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00127600 NJ
Hand Occupational Therapist 225XH1200X 46TR00127600 NJ Primary

Addresses

Primary practice location

801 Tilton Rd
Northfield, NJ 08225-1265

Mailing address

801 Tilton Rd
Northfield, NJ 08225-1265
Phone (609) 645-0505

Other practice location 1

24 MacArthur Blvd
Somers Point, NJ 08244-1776
Phone (609) 927-1991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181114003442 NJ Practitioner - Occupational Therapist in Private Practice 5092069831 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osprey Rehabilitation LLCGroup PAC ID 7214302264, 54 clinicians

Practice addresses (Care Compare)

801 Tilton Rd
Northfield, NJ 08225-1265
Phone (609) 645-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00127600NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Osprey Rehabilitation, LLC. CurrentSince Apr 1, 2023 Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Apr 1, 2023 Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Rehabclinics SPT Inc CurrentSince Oct 22, 2018 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Oct 22, 2018 Accepting new patients

Locations

18 E Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 404-3353

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

801 Tilton Rd
Northfield, NJ 08225
Phone (609) 645-0505

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

24 MacArthur Blvd
Somers Point, NJ 08244
Phone (609) 927-1991

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596240000000",
    "number": "1417194101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251265",
            "telephone_number": "609-645-0505",
            "fax_number": "609-645-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251265",
            "telephone_number": "609-645-0505",
            "fax_number": "609-645-7437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Somers Point",
            "state": "NJ",
            "postal_code": "082441776",
            "country_code": "US",
            "telephone_number": "609-927-1991",
            "fax_number": "609-926-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "PAMELA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00127600",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NJ",
            "license": "46TR00127600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; 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.