Melissa Converse Gallatin, PT, OCS, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009715 Issued in OH

Practice address

6515 Pullman Dr Ste 2100
Lewis Center, OH 43035-7381

Phone

(614) 293-1008

Fax

(614) 293-6672

NPI assigned

Sep 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ohio State University Hospitals

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1447359997
  NPD (past)

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1730515784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5971 CANYON CREEK DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167419",
            "telephone_number": "614-499-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 PULLMAN DR STE 2100",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357381",
            "telephone_number": "614-293-1008",
            "fax_number": "614-293-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLATIN",
        "first_name": "MELISSA",
        "middle_name": "CONVERSE",
        "credential": "PT, OCS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT009715",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT002455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.