Active NPI
Denise Marie Gallagher, O.T.
- Occupational Therapist
- Fairfield, IA
National Provider Identifier
1487770988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 000403
- Practice address
- 400 Highland St
Jefferson County Hospital
Fairfield, IA 52556-3713 - Phone
- (641) 469-4140
- Fax
- (641) 469-4288
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 000403 | IA | Primary |
Addresses
Primary practice location
400 Highland St
Jefferson County Hospital
Fairfield, IA 52556-3713
Mailing address
1103 W Spaulding Ave
Fairfield, IA 52556-2138
Phone (641) 472-2894
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000403 | IA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487770988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 W SPAULDING AVE",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525562138",
"telephone_number": "641-472-2894",
"fax_number": "641-469-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HIGHLAND ST",
"address_2": "JEFFERSON COUNTY HOSPITAL",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525563713",
"telephone_number": "641-469-4140",
"fax_number": "641-469-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "DENISE",
"middle_name": "MARIE",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "000403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.