Organization Active NPI

Cowboy Healthcare PLLC

  • Physical Therapist
  • Ravenna, OH
National Provider Identifier
1891162343
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COWBOY HEALTHCARE PLLC
Practice address
136 E Main St
Ravenna, OH 44266-3104
Phone
(330) 472-0372
Fax
(330) 649-2713
NPI assigned
Aug 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Brian Joseph Gallagher, DPTNPI 1871865493
Title
Owner
Phone
(330) 472-0372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

136 E Main St
Ravenna, OH 44266-3104

Mailing address

2490 Maplehurst Dr
Stow, OH 44224-2755
Phone (330) 472-0372

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260326000104 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729212790 Receives reassigned benefits from 1 practitioner
Practice locations: Ravenna, OH

National Provider Directory

National Provider Directory

Locations

136 E Main St
Ravenna, OH 44266
Phone (330) 472-0372

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1891162343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 MAPLEHURST DR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242755",
            "telephone_number": "330-472-0372",
            "fax_number": "330-649-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663104",
            "telephone_number": "330-472-0372",
            "fax_number": "330-649-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWBOY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-472-0372",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.