Thomas Gillis, ATP

Primary specialty

Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X

License

ATP14464 Issued in ME

Practice address

7 Irwin LN
Berwick, ME 03901-2874

Phone

(207) 459-8718

NPI assigned

Sep 15, 2015

Sex

Male

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1255700670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 IRWIN LN",
            "city": "BERWICK",
            "state": "ME",
            "postal_code": "039012874",
            "telephone_number": "207-459-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 IRWIN LN",
            "city": "BERWICK",
            "state": "ME",
            "postal_code": "039012874",
            "telephone_number": "207-459-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "THOMAS",
        "credential": "ATP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "ME",
            "license": "ATP14464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Davis
• Christina Nicole Duarte
• Bryan English, LPN
• Sara Evans, CPD, CLC
• Christine Fortin, PTA
• Linda Diane Hanson, PT
• Karen A Jennings, MSW, LCSW
• Nadine Semenza Laniewski, COTA/L
• Bradley Neal Libenson, DO
• Linda Rees

• All providers in Berwick, ME
• Assistive Technology Practitioner Rehabilitation Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.