Individual provider Active NPI

Tamara Galloway, PT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1740287002
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
649 Issued in AZ
Practice address
1300 N 12TH St
Ste 506
Phoenix, AZ 85006-2849
Phone
(602) 253-6623
Fax
(602) 252-1723
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 649 AZ Primary

Addresses

Primary practice location

1300 N 12TH St
Ste 506
Phoenix, AZ 85006-2849

Mailing address

PO Box 32490
Phoenix, AZ 85064-2490
Phone (602) 230-4478

Other identifiers 1

IdentifierTypeStateIssuer
781353MedicaidAZ

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
649AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Physical Therapy, Inc Physical Therapist CurrentSince Jul 7, 1989 Accepting new patients
Canyon State Physical Therapy Physical Therapist Past Accepting new patients
Physical Therapy Solutions LLC Physical Therapist PastSince Sep 15, 2008 Accepting new patients
Access Telecare, PLLC Past Accepting new patients
Physicians Physical Therapy Service SW Ipa Physical Therapist Past Accepting new patients

Locations

18275 N 59th Ave
Ste 164
Glendale, AZ 85308
Phone (480) 357-6500

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

1300 N 12th St
Ste 506
Phoenix, AZ 85006
Phone (602) 230-4478

Organizations & group practices 5

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1740287002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32490",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850642490",
            "telephone_number": "602-230-4478",
            "fax_number": "602-230-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "STE 506",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062849",
            "telephone_number": "602-253-6623",
            "fax_number": "602-252-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "TAMARA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "781353",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.