Tara Layne Gallagher, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2022028288 Issued in MO

Practice address

1 Meramec Bluffs Dr
Ballwin, MO 63021-3309

Phone

(636) 861-0600

NPI assigned

Jul 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1245966811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CANDICE WAY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764621",
            "telephone_number": "314-420-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERAMEC BLUFFS DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630213309",
            "telephone_number": "636-861-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "TARA",
        "middle_name": "LAYNE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2022028288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Friedlander, RPH
• Friedmann Therapy, LLC
• Genevieve Friedmann, LCSW
• Angela Fritschle, CRNA
• Samantha Gach, DPT
• Lori Denise Galperin, M.S.W., L.C.S.W.
• Erendira Elvira Garcia Guzman
• Rene Gassner, D.C.
• Gateway Little Smiles of Ballwin, LLC
• Seth Gerlach, D.C.

• Occupational Therapy Assistant in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.