Active NPI
Stacey Orr Gallagher, DPT
- Physical Therapist
- Boston, MA
National Provider Identifier
1912233453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18817
- Practice address
- 15 Parkman St
Wacc 134
Boston, MA 02114-3117 - Phone
- (617) 724-0125
- NPI assigned
- Oct 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18817 | MA | Primary |
Addresses
Primary practice location
15 Parkman St
Wacc 134
Boston, MA 02114-3117
Mailing address
669 E 6TH St # 1
Boston, MA 02127-3131
Phone (617) 686-8711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18817 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308873600000",
"number": "1912233453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "669 E 6TH ST # 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021273131",
"telephone_number": "617-686-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PARKMAN ST",
"address_2": "WACC 134",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143117",
"telephone_number": "617-724-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "STACEY",
"middle_name": "ORR",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-18",
"last_updated": "2011-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.