Active NPI
Alison Elena Gallup, P.T.
- Physical Therapist
- Pasadena, CA
National Provider Identifier
1740455062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1178240
- Practice address
- 3018 E Colorado Blvd # 100
Pasadena, CA 91107-3840 - Phone
- (626) 449-3900
- Fax
- (626) 449-4505
- NPI assigned
- Apr 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 35820 | CA | |
| Physical Therapist | 225100000X | 1178240 | TX | Primary |
Addresses
Primary practice location
3018 E Colorado Blvd # 100
Pasadena, CA 91107-3840
Mailing address
11410 Jollyville Rd
Ste 1101
Austin, TX 78759-4093
Phone (512) 231-1444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1178240 | Other | TX | PHYSICAL THERAPY LICENSE NUMBER |
Other names 1
- Alison E Rake
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1178240 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cypress Physical Therapy Center, Inc. | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Pacific Palisades, CA
- NPI 1831977230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1740455062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11410 JOLLYVILLE RD",
"address_2": "STE 1101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594093",
"telephone_number": "512-231-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3018 E COLORADO BLVD # 100",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073840",
"telephone_number": "626-449-3900",
"fax_number": "626-449-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLUP",
"first_name": "ALISON",
"middle_name": "ELENA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-28",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "35820",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1178240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE NUMBER",
"identifier": "1178240",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALISON",
"last_name": "RAKE",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.