Active NPI
Kristen Richards Galloway, DPT
- Pediatric Physical Therapist
- Savannah, GA
National Provider Identifier
1619301710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT012168
- Practice address
- 303 W Gwinnett St
C
Savannah, GA 31401-6389 - Phone
- (425) 891-1752
- NPI assigned
- Aug 26, 2013
- Last updated
- Jan 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT012168 | GA | Primary |
Addresses
Primary practice location
303 W Gwinnett St
C
Savannah, GA 31401-6389
Mailing address
303 W Gwinnett St
C
Savannah, GA 31401-6389
Phone (425) 891-1752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012168 | GA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1619301710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 W GWINNETT ST",
"address_2": "C",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314016389",
"telephone_number": "425-891-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 W GWINNETT ST",
"address_2": "C",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314016389",
"telephone_number": "425-891-1752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOWAY",
"first_name": "KRISTEN",
"middle_name": "RICHARDS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "GA",
"license": "PT012168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.