Aileen M Gallagher, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012796-1 Issued in NY

Practice address

81 Fort Salonga Rd Ste C
Northport, NY 11768-2889

Phone

(631) 380-3820

NPI assigned

May 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rom on the Run Physical Therapy, PC

  • Physical Therapist
  • East Northport, NY
  • NPI 1740455633
  NPD (past)

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1891353322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WAYNE CT",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682342",
            "telephone_number": "631-754-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 FORT SALONGA RD STE C",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682889",
            "telephone_number": "631-380-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Fort Salonga Rd # 2A",
            "address_purpose": "LOCATION",
            "city": "Fort Salonga",
            "state": "NY",
            "postal_code": "117681465",
            "country_code": "US",
            "telephone_number": "631-343-9194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "AILEEN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "012796-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012796-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryn Ann Frohnhoefer, PA
• Deirdra F Frum, PSY.D
• Benjamin Fung, D.D.S.
• Eric Fung
• Dylan Paul Galasso, LMSW
• Timothy Robert Gandolfo, DO
• Christian Paul Garces, LMSW
• Carol A Garklavs, MSW, LCSW
• Jaclyn Gartner
• Michelle Ann Garvey, OTR/L

• Physical Therapist in Northport, NY
• Providers in Northport, NY by specialty
• Physical Therapist in New York

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