Individual provider Active NPI

Shaylyn Rose Gallagher

  • Physical Therapist
  • West Boylston, MA
National Provider Identifier
1609503135
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
354 W Boylston St
West Boylston, MA 01583-2373
Phone
(508) 852-3700
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 Primary

Addresses

Primary practice location

354 W Boylston St
West Boylston, MA 01583-2373

Mailing address

188 Farm Hill Rd
Leominster, MA 01453-7004
Phone (978) 514-4941

Other practice location 1

18 Lyman St Ste 213
Westborough, MA 01581-1474
Phone (508) 622-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121003028 MA Practitioner - Physical Therapist in Private Practice 0042696684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinisi LLCGroup PAC ID 2062943533, 3 clinicians

Practice addresses (Care Compare)

295 Foster St
Littleton, MA 01460-2022
Phone (978) 795-4131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinisi, LLC Physical Therapist CurrentSince Jul 25, 2024 Accepting new patients
Central Massachusetts Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Aug 10, 2022 Accepting new patients

Locations

295 Foster St
Littleton, MA 01460
Phone (978) 795-4131

354 W Boylston St
Ste 111
West Boylston, MA 01583
Phone (508) 852-3700

18 Lyman St
Ste 213
Westborough, MA 01581
Phone (508) 622-3700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1609503135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 FARM HILL RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014537004",
            "telephone_number": "978-514-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 W BOYLSTON ST",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015832373",
            "telephone_number": "508-852-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Lyman St Ste 213",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015811474",
            "country_code": "US",
            "telephone_number": "508-622-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "SHAYLYN",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Boylston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.