KRISTEN GALLOWAY (NPI# 1043648025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043648025 |
| Entity Type | Individual |
| Full Name | KRISTEN GALLOWAY |
| Practice Address |
124 Stadium Ct Ponte Vedra Beach FL 32082-3152 |
| Practice Telephone | 7576510183 |
| Mailing Telephone | 7576510183 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT19865 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4301 N Federal Hwy, Ste. 2 South, Pompano Beach, FL 330646519 | 8888809270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619301710 | Kristen Richards Galloway | Physical Therapist | 303 W Gwinnett St, C, Savannah, GA 31401-6389 | 2013-08-26 |
| 1558821884 | Kristen Galloway | Occupational Therapist | 11083 Hamilton Ave, Cincinnati, OH 45231-1409 | 2019-03-22 |
| 1477832715 | Kristen Nicole Galloway | Psychologist | 9090 Regency Square Blvd, Jacksonville, FL 32211-8119 | 2011-08-04 |
| Street Address |
124 STADIUM CT |
| City | PONTE VEDRA BEACH |
| State | FL |
| Zip Code | 32082-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083256747 | Functional Movement LLC | Occupational Therapist | 124 Stadium Ct, Ponte Vedra Beach, FL 32082-3152 | 2019-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1568988129 | Mustafa Bakir | General Practice | 1102 A1a, Ponte Vedra Beach, FL 32082 | 2017-08-16 |
| 1457890584 | Angelyn Sorgen | Nurse Practitioner | 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 | 2017-02-22 |
| 1033575121 | Balanced Physician Care Pa | Family Medicine | 115 Professional Park Drive, Suite 104, Ponte Vedra Beach, FL 32082 | 2016-01-06 |
| 1528436060 | Robert Thompson II | Chiropractor | 135 Professional Drive, Suite 105, Ponte Vedra Beach, FL 32082 | 2015-09-14 |
| 1144628439 | Integrative Medical Group, Usa, LLC | Clinic/Center | 1102 A1a North, Suite 104, Ponte Vedra Beach, FL 32082 | 2014-12-18 |
| 1811308901 | Janice Wachtel, Phd, LLC | Psychologist | 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082 | 2014-05-12 |
| 1578991154 | Nicole Theiler | Counselor | 171 Canal Blvd, Ponte Vedra Beach, FL 32082 | 2013-10-17 |
| 1982948006 | Daisamma Varghese | Nurse Practitioner | 860 A1an, Ponte Vedra, FL 32082 | 2012-11-15 |
| Find all providers in zip 32082 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972967503 | Melissa Kuhn Roth | Occupational Therapist | 405 Solana Rd, Ponte Vedra Beach, FL 32082-2516 | 2016-04-09 |
| 1619349974 | Melissa Mchale | Occupational Therapist | 119 Willow Pond Ln, Ponte Vedra Beach, FL 32082-3577 | 2015-10-27 |
| 1205267374 | Georganna Walker | Occupational Therapist | 534 Le Master Dr, Ponte Vedra Beach, FL 32082-2310 | 2013-11-27 |
| 1639505936 | Corinne Nicole Sommese | Occupational Therapist | 100 Bouganvilla Dr, Ponte Vedra Beach, FL 32082-3676 | 2013-09-18 |
| 1518399476 | Susan Smicklas Wadsworth | Occupational Therapist | 1002 Marsh Cove Ct, Ponte Vedra Beach, FL 32082-1645 | 2013-08-02 |
| 1245480748 | Dana B Ventouras | Occupational Therapist | 1242 Neck Rd, Ponte Vedra Beach, FL 32082-4112 | 2008-09-22 |
| 1497923965 | Kerry Castorina | Occupational Therapist | 116 Indian Cove Ln, Ponte Vedra Beach, FL 32082-2168 | 2008-02-18 |
| 1033309166 | Rose Marsha Corrales | Occupational Therapist | 1351 Turtle Dunes Ct, Ponte Vedra Beach, FL 32082-6507 | 2007-07-25 |
| 1336131788 | Occuplay Inc | Occupational Therapist | 1102 A1a N, Suite 105, Ponte Vedra Beach, FL 32082-4098 | 2005-08-20 |
| 1427040872 | Nancy Ann Marin | Occupational Therapist | 5270 Palm Valley Rd, Ponte Vedra Beach, FL 32082-3200 | 2005-08-20 |
| Find all providers in PONTE VEDRA BEACH | ||||
| City | PONTE VEDRA BEACH |
| Zip Code | 32082 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.