Individual provider Active NPI

Michaela Gallagher, PT

  • Physical Therapist
  • Stratford, CT
National Provider Identifier
1417816059
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006204 Issued in CT
Practice address
999 Oronoque LN Ste 303
Stratford, CT 06614-1379
Phone
(203) 979-9440
Fax
(866) 232-5535
NPI assigned
Jan 20, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 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 006204 CT Primary

Addresses

Primary practice location

999 Oronoque LN Ste 303
Stratford, CT 06614-1379

Mailing address

46 Sandpiper Cres
Milford, CT 06460-7953

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260209002450 CT Practitioner - Physical Therapist in Private Practice 3375022510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Rehab OT LLCGroup PAC ID 1850676461, 7 clinicians

Practice addresses (Care Compare)

56 Partridge Dr
Southington, CT 06489-4017

999 Oronoque LN
Suite 303
Stratford, CT 06614-1379
Phone (203) 979-9440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006204CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Rehab OT LLC Physical Therapist CurrentSince Jan 29, 2026 Accepting new patients

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": "1768867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1417816059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SANDPIPER CRES",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064607953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ORONOQUE LN STE 303",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141379",
            "telephone_number": "203-979-9440",
            "fax_number": "866-232-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "MICHAELA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.