Organization Active NPI

Galloway Therapy Services, Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Miami, FL
National Provider Identifier
1447676820
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
10-3247 Issued in FL
Legal business name
GALLOWAY THERAPY SERVICES, INC
Practice address
9280 Hammocks Blvd
106
Miami, FL 33196-1507
Phone
(305) 383-3348
Fax
(305) 756-9527
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Ernesto Perez
Title
Admin/Owner
Phone
(305) 934-6454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 10-3247 FL Primary

Addresses

Primary practice location

9280 Hammocks Blvd
106
Miami, FL 33196-1507

Mailing address

946 NE 96TH St
Miami Shores, FL 33138-2524
Phone (305) 934-6454

Other identifiers 1

IdentifierTypeStateIssuer
004696000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1447676820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 NE 96TH ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382524",
            "telephone_number": "305-934-6454",
            "fax_number": "305-756-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 HAMMOCKS BLVD",
            "address_2": "106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961507",
            "telephone_number": "305-383-3348",
            "fax_number": "305-756-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLOWAY THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "ADMIN/OWNER",
        "authorized_official_telephone_number": "305-934-6454"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "10-3247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004696000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.