Individual provider Active NPI

Colleen Elizabeth Gallagher, DPT

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1538755434
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046796 Issued in NY
Practice address
225 Reinekers LN Ste GR4
Alexandria, VA 22314-2871
Phone
(703) 299-3111
NPI assigned
Dec 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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 046796 NY Primary

Addresses

Primary practice location

225 Reinekers LN Ste GR4
Alexandria, VA 22314-2871

Mailing address

4921 Seminary Rd Apt 1002
Alexandria, VA 22311-1809
Phone (845) 399-7240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210322000133 DC Practitioner - Physical Therapist in Private Practice 7618384538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Stony Brook, School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solutions Physical Therapy and Sports Medicine, LLCGroup PAC ID 9133273741, 28 clinicians

Practice addresses (Care Compare)

225 Reinekers LN
Alexandria, VA 22314-2856
Phone (703) 299-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046796NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Physical Therapy & Sports Medicine, LLC Physical Therapist CurrentSince Mar 5, 2021 Accepting new patients

Locations

225 Reinekers Ln
Ste GR4
Alexandria, VA 22314
Phone (703) 299-3111

2700 S Quincy St
Ste 300
Arlington, VA 22206
Phone (571) 543-4810

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1538755434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 SEMINARY RD APT 1002",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111809",
            "telephone_number": "845-399-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 REINEKERS LN STE GR4",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142871",
            "telephone_number": "703-299-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "COLLEEN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.