Individual provider Active NPI

Micaela Galley, MOT, OTR/L

  • Occupational Therapist
  • Newton, MA
National Provider Identifier
1831836022
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14108 Issued in MA
Practice address
431 Washington St
Newton, MA 02458-1537
Phone
(617) 663-1122
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 14108 MA Primary

Addresses

Primary practice location

431 Washington St
Newton, MA 02458-1537

Mailing address

60 Kenrick St
Brighton, MA 02135-3805
Phone (508) 505-5083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX, NH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220615000608 MA Practitioner - Occupational Therapist in Private Practice 4082093489 Reassigns benefits to 1 organization
I20240701001903 TX Practitioner - Occupational Therapist in Private Practice 4082093489 Reassigns benefits to 1 organization
I20241126001528 NH Practitioner - Occupational Therapist in Private Practice 4082093489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Imago Rehab, IncGroup PAC ID 1850785056, 16 clinicians

Practice addresses (Care Compare)

Lowell, MA 01852
Phone (888) 855-2674

20 Foundry St
Concord, NH 03301-5419
Phone (888) 855-2674

378 Quartz Dr
Dripping Springs, TX 78620-2146
Phone (888) 855-2674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14108MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Imago Rehab, Inc CurrentSince Jun 1, 2022 Accepting new patients

Locations

110 Canal St
Ste 3
Lowell, MA 01852
Phone (617) 671-0789

500 Unicorn Park Dr
Ste 300
Woburn, MA 01801
Phone (617) 671-0789

20 Foundry St
Fl 2
Concord, NH 03301
Phone (603) 584-4865

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1831836022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 KENRICK ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353805",
            "telephone_number": "508-505-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581537",
            "telephone_number": "617-663-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEY",
        "first_name": "MICAELA",
        "name_prefix": "Ms.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "14108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.