Healthcare Provider Details

I. General information

NPI: 1447116926
Provider Name (Legal Business Name): PATRICK GALLOWAY DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 MARTIN BLVD STE 5
MIDDLE RIVER MD
21220-4104
US

IV. Provider business mailing address

11531 FRANKLINVILLE RD
UPPER FALLS MD
21156-1904
US

V. Phone/Fax

Practice location:
  • Phone: 410-686-3600
  • Fax:
Mailing address:
  • Phone: 410-591-1378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number31033
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: