Ana Gallotto, PT

Key facts

NPI

1417569757

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

25022 (MA)

Practice address

506 Plain St Ste 101
Marshfield, MA 02050-2745

Phone

(781) 319-0024

Fax

(781) 319-0088

NPI assigned

Aug 18, 2020

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 18, 2020.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1417569757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 PLAIN ST STE 101",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502745",
            "telephone_number": "781-319-0024",
            "fax_number": "781-319-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 PLAIN ST STE 101",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502745",
            "telephone_number": "781-319-0024",
            "fax_number": "781-319-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOTTO",
        "first_name": "ANA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Marshfield, MA · Physical Therapist in Massachusetts