Active NPI
Josephine Gallardo Reinoso, RPT
- Physical Therapist
- Hamtramck, MI
National Provider Identifier
1972684611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501004272
- Practice address
- 9427 Conant St
Suite C
Hamtramck, MI 48212 - Phone
- (313) 873-6220
- Fax
- (313) 873-6788
- NPI assigned
- Oct 18, 2006
- 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 | 5501004272 | MI | Primary |
Addresses
Primary practice location
9427 Conant St
Suite C
Hamtramck, MI 48212
Mailing address
PO Box 99671
Troy, MI 48099
Phone (313) 873-6220
Other names 1
- Josephine Abayon Gallardo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050517000445 | MI | Practitioner - Physical Therapist in Private Practice | 7719896950 | Practice locations: Hamtramck, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9427 Conant St
Suite C
Hamtramck, MI 48212-3689
Phone (313) 873-6220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regal Physical Therapy | Past | Accepting new patients | |
| Regal Home Care, LLC | Past | Accepting new patients | |
| International Musculoskeletal Center PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Home Health Agency
- Hamtramck, MI
- NPI 1699030692
-
- Durable Medical Equipment & Medical Supplies
- Hamtramck, MI
- NPI 1881926541
-
- Orthopaedic Surgery Physician
- Hamtramck, MI
- NPI 1861573693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1972684611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99671",
"city": "TROY",
"state": "MI",
"postal_code": "48099",
"telephone_number": "313-873-6220",
"fax_number": "313-873-6788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9427 CONANT ST",
"address_2": "SUITE C",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "48212",
"telephone_number": "313-873-6220",
"fax_number": "313-873-6788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINOSO",
"first_name": "JOSEPHINE",
"middle_name": "GALLARDO",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501004272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSEPHINE",
"last_name": "GALLARDO",
"middle_name": "ABAYON",
"credential": "RPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hamtramck, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.