Justin Gallup

Primary specialty

Critical Care Certified Respiratory TherapistTaxonomy code 2278C0205X

Practice address

3408 Meadow Wood LN
Crozet, VA 22932-2207

Phone

(804) 307-7193

NPI assigned

Mar 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1861087348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 MEADOW WOOD LN",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229322207",
            "telephone_number": "804-307-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 MEADOW WOOD LN",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229322207",
            "telephone_number": "804-307-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUP",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278C0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified, Critical Care",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Faulkner, LPC
• Anthony Joseph Fisher
• Shannon Campbell Franklin, O.D.
• Aaron Verret Freeland, PT, DPT
• Amy Lynn Gadell, M.S., CCC-SLP
• Omar Garada, DDS
• George a Guess, MD, PC
• Parker Glenn, PT, DPT
• Rachelle Sue Glover, DNP/FNP
• Margaret Page Grissom

• All providers in Crozet, VA
• Critical Care Certified Respiratory Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.