Shannon Gale, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012587 Issued in OH

Practice address

3365 Richmond Rd
Ste 110
Beachwood, OH 44122-4116

Phone

(216) 593-7070

Fax

(216) 593-7074

NPI assigned

Nov 29, 2011

Last updated

Apr 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon Koslen Former name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleveland Orthopedic and Spine Institute, LLCGroup PAC ID 4880590413, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.23 of 100Reported as group

Quality

59.13

Promoting interoperability

99

Improvement activities

40

Cost

75.81

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.

• Cleveland Orthopedic and Spine Institute, LLC

  • Clinic/Center
  • Mayfield Heights, OH
  • NPI 1033988928
  Medicare reassignment Care Compare group NPD
• Cleveland Orthopedic and Spine Institute, LLC

  • Orthopaedic Surgery Physician
  • Mayfield Heights, OH
  • NPI 1407816085
  NPD (past)

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1508133976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-626-6161",
            "fax_number": "419-502-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 RICHMOND RD",
            "address_2": "STE 110",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224116",
            "telephone_number": "216-593-7070",
            "fax_number": "216-593-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALE",
        "first_name": "SHANNON",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT012587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "KOSLEN",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tana R Gadelsayed, LISW-S
• Adolphus Edward Gaffney, MSW-LSW
• Sellamawit Gaim
• Amy Galdun
• Edward Gale
• Veronica Lee Gallo, MS RD LD
• Sadigoh Galloway, LICDC-CS
• Savannah Galloway, CDCA
• Zephaniah Galloway, CDCA
• Svetlana Galstaine

• Physical Therapist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.