Rolly Gallego Elaco, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011330 Issued in MI

Practice address

38765 Mound Rd
Suite 101
Sterling Heights, MI 48310-3209

Phone

(586) 274-0750

Fax

(586) 274-0704

NPI assigned

Jan 4, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Mobility Plus Rehab Services Inc.

  • Rehabilitation Clinic/Center
  • Troy, MI
  • NPI 1255403598

  Physical Therapist

  NPD (past)
• Therapeutic Solutions, Inc.

  • Physical Therapy Clinic/Center
  • Madison Heights, MI
  • NPI 1366690802
  NPD (past)

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1649500265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42460 SILVERWOOD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142941",
            "telephone_number": "313-729-0799",
            "fax_number": "586-274-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38765 MOUND RD",
            "address_2": "SUITE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103209",
            "telephone_number": "586-274-0750",
            "fax_number": "586-274-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELACO",
        "first_name": "ROLLY",
        "middle_name": "GALLEGO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel M Efford, CNA
• Joey El Hajj
• Kareem El-Bey
• Tamer A. El-Bohy, DPT
• Chantel El-Sayah, PHARMD
• Christina Elder
• Noha Elghoroury, PT
• Carmen Elias, LMSW
• Elite Chiropractic, P.C.
• Elite Family Medicine PLLC

• Physical Therapist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.