M. Eileen Gardner

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19441 Issued in MA

Practice address

110 Haverhill Rd
Suite 402
Amesbury, MA 01913-2123

Phone

(978) 388-4500

Fax

(978) 834-7229

NPI assigned

Feb 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Excella Associates LLC

  • Home Health Agency
  • Amesbury, MA
  • NPI 1467714030
  NPD (past)
• Excella Homecare, Inc.

  • Home Health Agency
  • Wilmington, MA
  • NPI 1649351354
  NPD (past)

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1740648526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 JOSIAH DR",
            "city": "UPTON",
            "state": "MA",
            "postal_code": "015681451",
            "telephone_number": "508-769-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD",
            "address_2": "SUITE 402",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132123",
            "telephone_number": "978-388-4500",
            "fax_number": "978-834-7229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5959 Sun N Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338722075",
            "country_code": "US",
            "telephone_number": "863-385-5454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11570 E 126th St",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460379592",
            "country_code": "US",
            "telephone_number": "317-579-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "M. EILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38698",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19441",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014800A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Life Counseling LLC
• Laura Ann Da Costa Gale, LICSW
• Kerri Gallagher
• Deborrah Gallegos-Petersen, RN, FNP-BC
• Kylie Shanon Gardner, OTR/L
• Kylee Gavin
• Carolyn Ann Gayler-Romero, LEP
• Get a Group Counseling Services
• Donna J Gilford, RN
• Marilyn Gilmore, PT

• Physical Therapist in Amesbury, MA
• Providers in Amesbury, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.