Individual provider Active NPI

Amy Smith Galloway, PT

  • Specialist
  • Goldsboro, NC
National Provider Identifier
1760554117
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9144 Issued in NC
Practice address
1101 Gracie PL Ste a
Goldsboro, NC 27534-2260
Phone
(919) 734-9644
Fax
(919) 429-8473
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9144 NC Primary

Addresses

Primary practice location

1101 Gracie PL Ste a
Goldsboro, NC 27534-2260

Mailing address

1101 Gracie PL Ste a
Goldsboro, NC 27534-2260
Phone (919) 734-9644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000748 NC Practitioner - Physical Therapist in Private Practice 4082860390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Fowler PT IncGroup PAC ID 0941283311, 8 clinicians

Practice addresses (Care Compare)

828 Fleming St
Suite a
Hendersonville, NC 28791-3546
Phone (828) 698-3489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9144NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Fowler, PT, Inc. CurrentSince Apr 2, 2025 Accepting new patients
Mount Olive Physical Therapy LLC CurrentSince Feb 5, 2007 Accepting new patients

Locations

172 NC Highway 581 S
Goldsboro, NC 27530
Phone (919) 635-4500

828 Fleming St
Ste A
Hendersonvlle, NC 28791
Phone (828) 697-4330

232 Smith Chapel Rd
Mount Olive, NC 28365
Phone (919) 635-4500

1120 N Breazeale Ave
Mount Olive, NC 28365
Phone (919) 299-8033

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1760554117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GRACIE PL STE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342260",
            "telephone_number": "919-734-9644",
            "fax_number": "919-429-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GRACIE PL STE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342260",
            "telephone_number": "919-734-9644",
            "fax_number": "919-429-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "AMY",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.