Individual provider Active NPI

Michael Gall, PT ATC

  • Physical Therapist
  • Round Rock, TX
National Provider Identifier
1831167550
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1085447 Issued in TX
Practice address
2250 E Palm Valley Blvd Ste 205
Round Rock, TX 78665-4532
Phone
(512) 975-7199
Fax
(630) 759-9510
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 1085447 TX Primary

Addresses

Primary practice location

2250 E Palm Valley Blvd Ste 205
Round Rock, TX 78665-4532

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110627000501 TX Practitioner - Physical Therapist in Private Practice 6800866849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Ohio State University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1320 Cypress Creek Rd
Suite 104
Cedar Park, TX 78613-4676
Phone (512) 676-3948

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC CurrentSince Jun 20, 2017 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jun 20, 2017 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

7010 W Highway 71
Ste 300A
Austin, TX 78735
Phone (512) 975-7268

165 Hargraves Dr
Ste M400
Austin, TX 78737
Phone (512) 975-7268

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

1320 Cypress Creek Rd
Ste 104
Cedar Park, TX 78613
Phone (512) 676-3948

5004 Gattis School Rd
Ste 220
Hutto, TX 78634
Phone (512) 813-2087

1825 Crystal Falls Pkwy
Ste 150
Leander, TX 78641
Phone (512) 817-5001

1288 W Main St
Ste 148
Lewisville, TX 75067
Phone (469) 496-3992

12700 Lexington St
Unit 260
Manor, TX 78653
Phone (512) 527-6206

2606 W Pecan St
Ste 102
Pflugerville, TX 78660
Phone (512) 527-6298

17220 N Rm 620 Rd
Ste 110
Round Rock, TX 78681
Phone (512) 527-6007

2250 E Palm Valley Blvd
Ste 205
Round Rock, TX 78665
Phone (512) 975-7199

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1831167550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 E PALM VALLEY BLVD STE 205",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786654532",
            "telephone_number": "512-975-7199",
            "fax_number": "630-759-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALL",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1085447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.