Active NPI
Michael Gallagher, P.T.
- Physical Therapist
- Rockland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2630
- Practice address
- 91 Camden St.
Suite 401
Rockland, ME 04841-2421 - Phone
- (207) 593-6682
- Fax
- (207) 213-1075
- NPI assigned
- Jul 11, 2007
- Last updated
- Feb 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2630 | ME | Primary |
Addresses
Primary practice location
91 Camden St.
Suite 401
Rockland, ME 04841-2421
Mailing address
91 Camden St.
Suite 401
Rockland, ME 04841-2421
Phone (207) 593-6682
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11802105 | Other | ME | CAQH |
| 9772088 | Other | ME | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reform Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Rivertree Osteopathic Health PC | Past | Accepting new patients | |
| Gallagher Rehab and Wellness,Inc | Physical Therapist | Past | Accepting new patients |
| Continuum Physical Therapy PA | Physical Therapist | Past | Accepting new patients |
Locations
190 Pleasant St
Brunswick, ME 04011
23 Durham Rd
Ste 101
Freeport, ME 04032
Phone (207) 725-4400
525 Main St
Ste C
South Portland, ME 04106
Phone (207) 274-6245
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Yarmouth, ME
- NPI 1487028775
-
- Physical Therapist
- Rockland, ME
- NPI 1255568432
-
- Physical Therapist
- Hope, ME
- NPI 1194924183
-
dba Freeport Osteopathic Health
- Neuromusculoskeletal Medicine & OMM Physician
- Topsham, ME
- NPI 1093002438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1619176609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 CAMDEN ST.",
"address_2": "SUITE 401",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048412421",
"telephone_number": "207-593-6682",
"fax_number": "207-213-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 CAMDEN ST.",
"address_2": "SUITE 401",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048412421",
"telephone_number": "207-593-6682",
"fax_number": "207-213-1075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "MICHAEL",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT2630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11802105",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9772088",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.