Organization Active NPI

Gal PT

  • Physical Medicine & Rehabilitation Physician
  • San Jose, CA
National Provider Identifier
1891086625
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Dec 12, 2016

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X CA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT26728 CA
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X PT26728 CA
Neurology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251N0400X PT26728 CA
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X PT26728 CA
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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. Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.