Kerrie Gallagher

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

445 Godwin Ave
Midland Park, NJ 07432-1507

Phone

(201) 444-4991

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891873873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BROOKWOOD DR",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301505",
            "telephone_number": "201-825-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321507",
            "telephone_number": "201-444-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "KERRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "40QB00099800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Fonticoba
• Lori Franklin, OCCUPATIONAL THERAPI
• Howard David Frauwirth, M.D.
• Howard Lawrence Frey, MD
• Kara Fulek, SLP
• Michelle Gardiner, LCSW
• Paige E Garlasco, M.S., CF-SLP
• Deanna Maria Garofalo, BS, OTD, OTR/L
• Nicholas Francis Garofalo, MA, LAC, NCC
• Rachel Gaul, LSW

• Physical Therapy Assistant in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.