Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Gallo

Individual provider Physical Therapist · NPI 1932833407

Jacqueline Gallo is a Physical Therapist in Private Practice in Franklin Lakes, New Jersey. Qualified in 2022, 4 years ago. Practices with Ivyrehab Network Inc, a 653-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

795 Franklin Ave
Franklin Lakes, NJ 07417-1368
Phone: (201) 847-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 263 Beechwood Rd, Oradell, NJ 07649-1807 — (201) 835-3522

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02085700 (NJ)

Record details

NPI number1932833407
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing address1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Franklin Lakes