MEDICARE: BAILEY MARGARET GALVIN DPT, PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	LPT-034541	AZ
2	225100000X	Physical Therapist	13920	MN
3	225100000X	Physical Therapist	12140R	LA
4	225100000X	Physical Therapist	17652-24	WI

General Provider Information

NPI Number	:	1508744905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY MARGARET GALVIN DPT, PT

Provider Business Mailing Address
First Line	:	663 JORDAN ST
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71101-4748
Country	:	US
Telephone Number	:	318-222-8892
Fax Number	:	318-222-8893

Provider Business Practice Location Address
First Line	:	3620 57TH AVE STE 400
Second Line	:
City	:	KENOSHA
State	:	WI
Zip	:	53144-4925
Country	:	US
Telephone Number	:	262-925-5280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	05/18/2026

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