Active NPI
Gal PT
- Physical Medicine & Rehabilitation Physician
- San Jose, CA
National Provider Identifier
1891086625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- GAL PT
- Practice address
- 4155 Moorpark Ave.
Suite 20
San Jose, CA 95117-1597 - Phone
- (408) 615-1516
- Fax
- (866) 754-1516
- NPI assigned
- Apr 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gretchen A Leachman, DPT
- Title
- Owner/Ceo
- Phone
- (408) 615-1516
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | CA | Primary | |
| Physical Therapist | 225100000X | PT26728 | CA | |
| Geriatric Physical Therapist | 2251G0304X | PT26728 | CA | |
| Neurology Physical Therapist | 2251N0400X | PT26728 | CA | |
| Sports Physical Therapist | 2251S0007X | PT26728 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | PT26728 | CA |
Addresses
Primary practice location
4155 Moorpark Ave.
Suite 20
San Jose, CA 95117-1597
Mailing address
4155 Moorpark Ave.
Suite 20
San Jose, CA 95117-1597
Phone (408) 615-1516
Other names 1
- Colwill Physical Therapy, Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481500800000",
"number": "1891086625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4155 MOORPARK AVE.",
"address_2": "SUITE 20",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171597",
"telephone_number": "408-615-1516",
"fax_number": "866-754-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 MOORPARK AVE.",
"address_2": "SUITE 20",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171597",
"telephone_number": "408-615-1516",
"fax_number": "866-754-1516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAL PT",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-27",
"last_updated": "2016-12-12",
"status": "A",
"authorized_official_last_name": "LEACHMAN",
"authorized_official_first_name": "GRETCHEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "408-615-1516",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT26728",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": "CA",
"license": "PT26728",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Neurology",
"state": "CA",
"license": "PT26728",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "PT26728",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT26728",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Colwill Physical Therapy, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.