Gale Egendoerfer

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-27-636 Issued in FL

Practice address

134 Infield CT
Mooresville, NC 28117-8026

Phone

(704) 799-6824

Fax

(704) 799-6825

NPI assigned

Oct 27, 2016

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)

Not 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.

• Integrative Therapy Concepts

  • Pediatric Occupational Therapist
  • Mooresville, NC
  • NPI 1508849332
  NPD (past)
• Lolly Therapeutics, LLC

  • Occupational Therapist
  • Mooresville, NC
  • NPI 1164847752

  Behavior Analyst

  NPD (past)
• Think Speech, LLC

  • Speech-Language Pathologist
  • Deland, FL
  • NPI 1598420523
  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1912459744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MURRELL RD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406700",
            "telephone_number": "321-426-7759",
            "fax_number": "321-593-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 INFIELD CT",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178026",
            "telephone_number": "704-799-6824",
            "fax_number": "704-799-6825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2765 Rebecca Ln Ste D",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638326",
            "country_code": "US",
            "telephone_number": "386-244-9519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2102 Cambridge Beltway Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282734354",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "fax_number": "704-799-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1777 Old Earnhardt Rd",
            "address_purpose": "LOCATION",
            "city": "Kannapolis",
            "state": "NC",
            "postal_code": "280838023",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16415 Northcross Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280785001",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5500 Murrell Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329406700",
            "country_code": "US",
            "telephone_number": "214-267-7593",
            "fax_number": "321-593-0839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Charlois Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031588",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1121 Old Concord Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281461473",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGENDOERFER",
        "first_name": "GALE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "S13248",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-17-27-636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefani T Eddins
• Edgewater Women's Health Centre
• William John Edmiston Jr., MD
• Haili Edwards
• Krisandra Marie Edwards, FNP-C
• Adam Ehinger, OTA/L
• Helene Eklen, LCSW
• Eldercare Solutions (Comfort Keepers)
• Elizabeth E. Correll, Ma PLLC
• Anthony Elkins, D.O.

• Behavior Analyst in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.