Active NPI
Sean Padric Gallagher, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1790842730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009366-1
- Practice address
- 330 W 42ND St
Ground Floor
New York, NY 10036-6902 - Phone
- (212) 245-7278
- Fax
- (212) 245-7461
- NPI assigned
- Jan 2, 2007
- Last updated
- Jun 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009366-1 | NY | Primary |
Addresses
Primary practice location
330 W 42ND St
Ground Floor
New York, NY 10036-6902
Mailing address
13 Cedar St
Hastings on Hudson, NY 10706-3905
Phone (212) 245-7278
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0107301 | Other | NY | HEALTHNET ORTHONET |
| 4417349 | Other | NY | AETNA NON-PAR |
| P2166797 | Other | NY | OXFORD |
| Q63523 | Other | NY | EBCBS HMO |
| 12067507 | Other | NY | MULTIPLAN |
| 2C0813 | Other | NY | HEALTHNET |
| 77A0121 | Other | NY | ABC HEALTHPLAN |
| 4261314 | Other | NY | CIGNA PPO PAR |
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 |
|---|---|---|---|
| 009366 | NY | MD | Optometrist |
| 009366-1 | NY | MD | Physical Therapist |
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.
-
- Specialist
- Hastings on Hudson, NY
- NPI 1386677920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1790842730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 CEDAR ST",
"city": "HASTINGS ON HUDSON",
"state": "NY",
"postal_code": "107063905",
"telephone_number": "212-245-7278",
"fax_number": "212-245-7461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W 42ND ST",
"address_2": "GROUND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100366902",
"telephone_number": "212-245-7278",
"fax_number": "212-245-7461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "SEAN",
"middle_name": "PADRIC",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "009366-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET ORTHONET",
"identifier": "0107301",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON-PAR",
"identifier": "4417349",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2166797",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EBCBS HMO",
"identifier": "Q63523",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "12067507",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C0813",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABC HEALTHPLAN",
"identifier": "77A0121",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO PAR",
"identifier": "4261314",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.