Individual provider Active NPI

Brianna Gallery

  • Speech-Language Pathologist
  • Park City, UT
National Provider Identifier
1730051863
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10256936-4102 Issued in UT
Practice address
1912 Sidewinder Dr Ste 104
Park City, UT 84060-7366
Phone
(435) 776-5306
NPI assigned
Sep 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10256936-4102 UT Primary

Addresses

Primary practice location

1912 Sidewinder Dr Ste 104
Park City, UT 84060-7366

Mailing address

8242 N Toll Creek LN
Park City, UT 84098-1422
Phone (435) 776-5306

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

LicenseStateTypeSpecialty
10256936-4102UTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neva Therapies Speech-Language Pathologist CurrentSince Sep 28, 2025 Accepting new patients

Locations

1912 Sidewinder Dr
Ste 104
Park City, UT 84060
Phone (435) 776-5306

Organizations & group practices 1

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": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1730051863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8242 N TOLL CREEK LN",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840981422",
            "telephone_number": "435-776-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 SIDEWINDER DR STE 104",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607366",
            "telephone_number": "435-776-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLERY",
        "first_name": "BRIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "10256936-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.