Jennifer Marie Gallagher, MSPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

022826-1 Issued in NY

Practice address

290 Larkfield Rd Unit B
East Northport, NY 11731-2444

Phone

(631) 547-5600

Fax

(631) 427-2223

NPI assigned

Oct 25, 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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Mercy College, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rom on the Run Physical Therapy PCGroup PAC ID 6709955180, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912082629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 LARKFIELD RD UNIT B",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312444",
            "telephone_number": "631-547-5600",
            "fax_number": "631-427-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 LARKFIELD RD UNIT B",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312444",
            "telephone_number": "631-547-5600",
            "fax_number": "631-427-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 E Main St",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117432939",
            "country_code": "US",
            "telephone_number": "631-427-7600",
            "fax_number": "631-427-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "022826-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Moira Friedman-Urevich, MSN,RN,FNP-C, PMHNP
• Kathleen C Fruehsamer, PT
• Caryn Fusaro, LPN
• Dana Elizabeth Gaglione
• Una M Gallagher-Bradley
• Jessica Galli
• Tara Galow, RN
• Nagma Gargi, PHARM.D.
• Astrid B Garrido, PMHNPP
• Joseph Richard Gasparro

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.