Organization Active NPI

Gallant Therapy Services

  • Developmentally Disabled Services Day Training Agency
  • Augusta, ME
National Provider Identifier
1124253760
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Nov 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ryan GallantNPI 1023243664
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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
172740000MedicaidME
434551000MedicaidME

National Provider Directory

National Provider Directory

Locations

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.

View all 70

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.

Verify at the official NPI Registry.