Amanda Marie Galagarza, SLP-CLINICAL FELLOW

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

PCET003584 Issued in GA

Practice address

7440 Highway 92
Woodstock, GA 30189-5235

Phone

(770) 212-2170

Fax

(770) 783-8639

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Moon River, LLC

  • Behavior Analyst
  • Marietta, GA
  • NPI 1730143553

  Single Specialty

  NPD
• North Georgia Pediatric Therapies, LLC

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1447499132

  Single Specialty

  NPD (past)
• North Georgia Pediatric Therapies, LLC

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1538716865
  NPD (past)

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1730819343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 HIGHWAY 92",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895235",
            "telephone_number": "770-212-2170",
            "fax_number": "770-783-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 HIGHWAY 92",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895235",
            "telephone_number": "770-212-2170",
            "fax_number": "770-783-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALAGARZA",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "SLP-CLINICAL FELLOW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "PCET003584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7707838639",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "7440 Highway 92",
            "city": "Woodstock",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301895235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Functional Fitness, LLC
• Francisco D. Fuster, DC
• Katie Gable, DC
• Gage Chiropractic Clinics LLC (Evolve Chiropractic)
• Carla Gaines, RBT
• James Gall, DPT
• Jennifer Lufkin Gallagher
• Kristen Elizabeth Gallagher, PT, DPT
• Christian Smith Galloway, PA-C
• Christine Gamache, OT

• Student in an Organized Health Care Education/Training Program in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.