Individual provider Active NPI

Allison Leary

  • Occupational Therapy Assistant
  • Augusta, ME
National Provider Identifier
1306570825
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
TA4291 Issued in ME
Practice address
12 Shuman Ave Ste 16
Augusta, ME 04330-6020
Phone
(207) 623-3900
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X TA4291 ME Primary

Addresses

Primary practice location

12 Shuman Ave Ste 16
Augusta, ME 04330-6020

Mailing address

241 Hill Rd
Clinton, ME 04927-3517
Phone (207) 509-5792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TA4291MEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gallant Therapy Services CurrentSince Apr 14, 2024 Accepting new patients

Locations

12 Shuman Ave
Ste 16
Augusta, ME 04330
Phone (207) 623-3900

840 Kennedy Memorial Dr
Oakland, ME 04963
Phone (207) 716-1863

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1306570825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 HILL RD",
            "city": "CLINTON",
            "state": "ME",
            "postal_code": "049273517",
            "telephone_number": "207-509-5792"
        },
        {
            "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": {
        "last_name": "LEARY",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ME",
            "license": "TA4291",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 11, 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.