Jackson E Gall, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31005213A Issued in IN

Practice address

225 Abraham Flexner Way
Ste 700
Louisville, KY 40202-1882

Phone

(502) 562-0398

Fax

(502) 585-0021

NPI assigned

Nov 21, 2011

Last updated

Sep 27, 2016By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1972870814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740041",
            "address_2": "DEPT 6150",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402017441",
            "telephone_number": "502-562-0398",
            "fax_number": "502-585-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ABRAHAM FLEXNER WAY",
            "address_2": "STE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021882",
            "telephone_number": "502-562-0398",
            "fax_number": "502-585-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALL",
        "first_name": "JACKSON",
        "middle_name": "E",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-21",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005213A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Galandiuk, MD
• Mariano A Galang III, M.D.
• Malgorzata Galanty, PT
• Galaxy Home Care LLC
• Gall Neuropsychology, LLC
• Stanley A. Gall, M.D.
• Brian E Gallagher, PH.D.
• Jack Edward Gallagher, DC
• Katherine Gallagher
• Sandra Gallagher, MA, LMFT

• Occupational Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.