Organization Active NPI

Galloway Therapy Services, Inc.

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1578577433
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Jul 7, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004696000MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.