Individual provider Active NPI

Oleg Galkin, DPT

  • Physical Therapist
  • East Rutherford, NJ
National Provider Identifier
1649521972
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01861300 Issued in NJ
Practice address
150 Union Ave
East Rutherford, NJ 07073-1917
Phone
(732) 766-5770
NPI assigned
Sep 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 40QA01861300 NJ Primary

Addresses

Primary practice location

150 Union Ave
East Rutherford, NJ 07073-1917

Mailing address

51 Sapphire LN
Matawan, NJ 07747-3418
Phone (732) 766-5770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210421000536 NJ Practitioner - Physical Therapist in Private Practice 2163830787 Reassigns benefits to 2 organizations
Practice locations: East Rutherford, NJ

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 Union Ave
East Rutherford, NJ 07073-1917
Phone (201) 464-0667

51 Sapphire LN
Matawan, NJ 07747-3418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01861300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Backpainpt LLC Physical Therapist CurrentSince Jun 23, 2024 Accepting new patients
Metro Physical Therapy LLC Physical Therapist CurrentSince Apr 15, 2025 Accepting new patients
Ignite Rehab Corp Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Rehability Sports Medicine, LLC Physical Therapist PastSince Nov 6, 2019 Accepting new patients
Rehability LLC Physical Therapist PastSince Aug 1, 2016 Accepting new patients

Locations

1003 Main Ave
Clifton, NJ 07011
Phone (201) 344-2499

150 Union Ave
East Rutherford, NJ 07073
Phone (732) 766-5770

800 E Gate Blvd
Garden City, NY 11530

Organizations & group practices 5

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": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1649521972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SAPPHIRE LN",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473418",
            "telephone_number": "732-766-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 UNION AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731917",
            "telephone_number": "732-766-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALKIN",
        "first_name": "OLEG",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-26",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01861300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.