Roadrunner Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ROADRUNNER PHYSICAL THERAPY LLC

Practice address

1300 W Maloney Ave Ste 140
Gallup, NM 87301-3313

Phone

(505) 397-7560

NPI assigned

Sep 2, 2026

Last updated

Sep 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pawel GredeckiNPI 1841591138

Title

Owner

Phone

(505) 397-7560

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pawel Tomasz Gredecki, PT, DPT

  • Physical Therapist
  • Gallup, NM
  • NPI 1841591138
  NPD (past) Authorized official

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1730098278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 MAYA DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014561",
            "telephone_number": "505-397-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W MALONEY AVE STE 140",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873013313",
            "telephone_number": "505-397-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADRUNNER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "GREDECKI",
        "authorized_official_first_name": "PAWEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-397-7560"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugenio Rivera Reveron, MD
• Ismarie Rivera- McLat
• Irma Judith Rivera
• Jamla Rizek
• Rmchcs Urgent Care, LLC
• Tenai G Roan, RN
• Shannon Roanhorse
• Becky Jo Robbins, RN
• Robert L Dorazio OD
• Gerald Robertson, MD

• Physical Therapist in Gallup, NM
• Providers in Gallup, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.