Stephen R Gallegos

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT42251 Issued in FL

Practice address

4299 A1A S
Saint Augustine, FL 32080-7421

Phone

(904) 679-3449

NPI assigned

Aug 10, 2021

Last updated

May 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Augustine Rehabilitation Specialists LLCGroup PAC ID 8426107293, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Saint Augustine Rehabilitation Specialists LLC

  • Physical Therapist
  • St Augustine, FL
  • NPI 1548407521
  Medicare reassignment Care Compare group NPD
• Saint Augustine Rehabilitation Specialists LLC

  • Physical Therapist
  • St Augustine, FL
  • NPI 1053108282
  NPD
• Saint Augustine Rehabilitation Specialists LLC

  • Physical Therapist
  • St Augustine, FL
  • NPI 1225813876
  NPD

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1437824745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SUNSET CIR S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320805156",
            "telephone_number": "505-231-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4299 A1A S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320807421",
            "telephone_number": "904-679-3449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Select Physical Therapy",
            "address_2": "1690 US-1 Suite A",
            "address_purpose": "LOCATION",
            "city": "St Augusine",
            "state": "FL",
            "postal_code": "32084",
            "country_code": "US",
            "telephone_number": "904-810-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2105",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT42251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G.L. Miller Anesthesia LLC
• Glenn Randolph Gaffney, LMT
• Gainesville Vamc
• Gabriel P. Galan, DPM
• Nolan A Gall, MD
• Sara A Galloway, M.A., CCC-SLP
• Kendal Tiffany Galura, APRN
• Kinjal Ashvinkumar Gandhi
• Adelaida Beatriz Garcia Dominguez
• Monica Garcia Galan

• Orthopedic Physical Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.