NEIL GALLAGHER – Physical Therapist, NPI 1053901405

NEIL GALLAGHER is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for NEIL GALLAGHER is 1053901405

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
NEIL GALLAGHER
NPI
1053901405
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
20 January 2021
Last Update Date
20 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2156339080
Graduation Year
2020 (6 years ago)
PAC ID
6608282090
Group Practice PAC ID
0648244640
Professional Enrollment ID
I20220131000925
Address ID
PA190205679BE1338XPIKE304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

1,887 PHYSICAL THERAPIST IN PRIVATE PRACTICE in SC

Provider Addresses for NEIL GALLAGHER

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • 2650 SAINT MATTHEWS RD

    ORANGEBURG, SC 291181344

    Phone: (803) 536-5509

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210310000277IPhysical Therapist In Private PracticeSCTBD
I20220131000925IPhysical Therapist In Private PracticePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities2,40496$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes94895$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12840$0
97140Therapy procedure using manual technique, each 15 minutes12235$0
97163Evaluation for physical therapy, typically 45 minutes3129$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648244640View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
-PA

Reviews

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Frequently asked questions

How is NEIL GALLAGHER identified in CMS data?
CMS-hosted NPPES data lists NEIL GALLAGHER with NPI 1053901405.
Does CMS list NEIL GALLAGHER as active?
Yes — NEIL GALLAGHER is active in the NPI listing used on this page.
What taxonomy line describes NEIL GALLAGHER?
For research purposes, treat NEIL GALLAGHER as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for NEIL GALLAGHER?
NEIL GALLAGHER's geographic hint is Bolingbrook, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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