Active NPI
Galloway Therapy Services, Inc.
- Health Service Clinic/Center
- Miami, FL
National Provider Identifier
1578577433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- GALLOWAY THERAPY SERVICES, INC.
- Practice address
- 9280 Hammocks Blvd
Suite 106
Miami, FL 33196-1507 - Phone
- (305) 934-6454
- Fax
- (786) 362-5295
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ernesto Antonio Perez, B.A.
- Title
- Owner/Administrator
- Phone
- (305) 934-6454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | FL | Primary |
Addresses
Primary practice location
9280 Hammocks Blvd
Suite 106
Miami, FL 33196-1507
Mailing address
9280 Hammocks Blvd
Suite 106
Miami, FL 33196-1507
Phone (305) 934-6454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004696000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
9280 Hammocks Blvd
Ste 106
Miami, FL 33196
Phone (305) 383-3348
5617 NW 7th St
Ste 1502
Miami, FL 33126
Phone (305) 265-4556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436227200000",
"number": "1578577433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9280 HAMMOCKS BLVD",
"address_2": "SUITE 106",
"city": "MIAMI",
"state": "FL",
"postal_code": "331961507",
"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": "SUITE 106",
"city": "MIAMI",
"state": "FL",
"postal_code": "331961507",
"telephone_number": "305-934-6454",
"fax_number": "786-362-5295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALLOWAY THERAPY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2015-07-07",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "ERNESTO",
"authorized_official_middle_name": "ANTONIO",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "305-934-6454",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "B.A."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "FL",
"license": null,
"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 Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.