Active NPI
Lisa Gallagher, PT, DPT
- Physical Therapist
- Middleburg Heights, OH
National Provider Identifier
1477967651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014764
- Practice address
- 16600 W Sprague Rd
Suite 365
Middleburg Heights, OH 44130-6318 - Phone
- (216) 820-4490
- Fax
- (866) 848-2496
- NPI assigned
- Jun 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014764 | OH | Primary |
Addresses
Primary practice location
16600 W Sprague Rd
Suite 365
Middleburg Heights, OH 44130-6318
Mailing address
16600 W Sprague Rd
Suite 365
Middleburg Heights, OH 44130-6318
Phone (216) 820-4490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014764 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wallace Management Corporation | Physical Therapist | Past | 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": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1477967651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16600 W SPRAGUE RD",
"address_2": "SUITE 365",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441306318",
"telephone_number": "216-820-4490",
"fax_number": "866-848-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16600 W SPRAGUE RD",
"address_2": "SUITE 365",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441306318",
"telephone_number": "216-820-4490",
"fax_number": "866-848-2496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "LISA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-16",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "014764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleburg Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.