Active NPI
Andrew Gallo, PT
- Physical Therapist
- Coralville, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02211
- Practice address
- 2769 Heartland Dr Ste 301
Coralville, IA 52241-2732 - Phone
- (319) 354-2429
- Fax
- (319) 354-6100
- NPI assigned
- Feb 28, 2007
- Last updated
- Dec 30, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02211 | NU | Primary |
Addresses
Primary practice location
2769 Heartland Dr Ste 301
Coralville, IA 52241-2732
Mailing address
1130 S Scott Blvd Ste 1
Iowa City, IA 52240-2909
Phone (319) 354-2429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0665463 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy of Iowa | Physical Therapist | Current | Accepting new patients |
| Progressive Rehabilitation Associates L.L.C. | Physical Therapist | Current | Accepting new patients |
| Progressive Rehab Chiropractic, L.L.C. | Past | Accepting new patients |
Locations
4000 River Ridge Dr NE
Ste 3
Cedar Rapids, IA 52402
Phone (319) 200-3063
2769 Heartland Dr
Ste 301
Coralville, IA 52241
Phone (319) 354-2429
1130 S Scott Blvd
Ste 1
Iowa City, IA 52240
Phone (319) 354-2429
2401 Towncrest Dr
Iowa City, IA 52240
Phone (319) 354-2429
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Iowa City, IA
- NPI 1851462865
-
- Physical Therapist
- Burlington, IA
- NPI 1477325132
-
- Chiropractor
- Tipton, IA
- NPI 1467967919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1710014295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 S SCOTT BLVD STE 1",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522402909",
"telephone_number": "319-354-2429",
"fax_number": "319-354-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2769 HEARTLAND DR STE 301",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412732",
"telephone_number": "319-354-2429",
"fax_number": "319-354-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLO",
"first_name": "ANDREW",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": "02211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0665463",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.