Jeffrey Galloway

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0000937 Issued in CO

Practice address

2088 Woodpecker LN
Elizabeth, CO 80107-8558

Phone

(601) 493-6968

NPI assigned

Mar 7, 2013

Last updated

Nov 1, 2021By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sundance Therapy, LLC

  • Physical Rehabilitation Occupational Therapist
  • Elizabeth, CO
  • NPI 1033653670
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1548501075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 WOODPECKER LN",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801078558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 WOODPECKER LN",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801078558",
            "telephone_number": "601-493-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-07",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0000937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85203751",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Family Health PC
• Elizabeth Fire Protection District
• Elizabeth School District C I
• Falcon Physical Therapy and Fitness (Fyzical Therapy and Balance Centers)
• Jason Gabrielski
• Briana Gauvin, MSW
• Carly Gehler, RDN
• Patricia Gonzales
• Goodman Young PLLC (Timberline Family Dentistry)
• Kristi Grothe

• Occupational Therapist in Elizabeth, CO
• Providers in Elizabeth, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.