Active NPI
Gallant Therapy Services
- Developmentally Disabled Services Day Training Agency
- Augusta, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- GALLANT THERAPY SERVICES
- Practice address
- 12 Shuman Ave Ste 16
Augusta, ME 04330-6020 - Phone
- (207) 623-3900
- NPI assigned
- May 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ryan Gallant
- Title
- President
- Phone
- (207) 623-3900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
12 Shuman Ave Ste 16
Augusta, ME 04330-6020
Mailing address
12 Shuman Ave Ste 16
Augusta, ME 04330-6020
Phone (207) 623-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172740000 | Medicaid | ME | |
| 434551000 | Medicaid | ME |
National Provider Directory
National Provider DirectoryLocations
219 Capitol St
Ste 3
Augusta, ME 04330
Phone (207) 623-3900
12 Shuman Ave
Ste 16
Augusta, ME 04330
Phone (207) 623-3900
12 Shuman Ave
Ste 17A
Augusta, ME 04330
12 Spruce St
Ste 3
Augusta, ME 04330
Phone (207) 441-0019
12 Shuman Ave
Ste 17
Augusta, ME 04330
12 Shuman Ave
Ste 16B
Augusta, ME 04330
19 White Pine Rd
Ste C
Hermon, ME 04401
Phone (207) 355-1550
20 East Ave
Unit 34A
Lewiston, ME 04240
20 East Ave
Unit 34
Lewiston, ME 04240
Phone (207) 816-0300
840 Kennedy Memorial Dr
Ste 1
Oakland, ME 04963
840 Kennedy Memorial Dr
Oakland, ME 04963
Phone (207) 716-1863
Practitioners & affiliated clinicians
Practitioners 70
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Augusta, ME
- NPI 1023243664
-
- Speech-Language Pathologist
- Augusta, ME
- NPI 1053150631
-
- Physical Therapist
- Augusta, ME
- NPI 1740942259
-
- Speech-Language Pathologist
- Augusta, ME
- NPI 1851286611
-
- Occupational Therapist
- Augusta, ME
- NPI 1003608258
-
- Speech-Language Pathologist
- Augusta, ME
- NPI 1871224667
-
- Pediatric Occupational Therapist
- Augusta, ME
- NPI 1194463794
-
- Occupational Therapist
- Hermon, ME
- NPI 1538737416
-
- Occupational Therapist
- Augusta, ME
- NPI 1003783663
-
- Occupational Therapist
- Augusta, ME
- NPI 1134811599
-
- Occupational Therapy Assistant
- Augusta, ME
- NPI 1871139477
-
- Occupational Therapy Assistant
- Augusta, ME
- NPI 1184291429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762819200000",
"number": "1124253760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SHUMAN AVE STE 16",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043306020",
"telephone_number": "207-623-3900",
"fax_number": "207-480-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SHUMAN AVE STE 16",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043306020",
"telephone_number": "207-623-3900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALLANT THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-27",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A",
"authorized_official_last_name": "GALLANT",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-623-3900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172740000",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "434551000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.