Active NPI
Justin Reid Gallagher, OT
- Occupational Therapist
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 245455
- Practice address
- 165 Natchez Ave
Unit 200
Bowling Green, KY 42103 - Phone
- (270) 796-4698
- NPI assigned
- Nov 18, 2021
- Sex
- Male
- 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 | 245455 | KY | Primary |
Addresses
Primary practice location
165 Natchez Ave
Unit 200
Bowling Green, KY 42103
Mailing address
150 Ruby Dr Apt 1a
Elizabethtown, KY 42701-4674
Phone (270) 899-0285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220107000929 | KY | Practitioner - Occupational Therapist in Private Practice | 2163813858 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SN Kentuckiana Rehab, LLC
Practice addresses (Care Compare)
190 Shadowmeade LN
Mt Washington, KY 40047-6277
Phone (502) 538-2332
210 E Gray St
Suite 807
Louisville, KY 40202-3927
Phone (502) 587-9350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| Kentucky Orthopedic Rehabilitation, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| Graves Gilbert Clinic PLLC | Occupational Therapist | Current | Accepting new patients |
| Kentucky Orthopedic Rehabilitation, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Occupational Therapist | Current | Accepting new patients |
| Graves Gilbert Clinic PLLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Past | Accepting new patients |
Locations
165 Natchez Trace Ave
Ste 200
Bowling Green, KY 42103
Phone (270) 782-7800
201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229
165 Natchez Trace Ave
Bowling Green, KY 42103
Phone (270) 782-7800
2618 Ring Rd
Ste 110
Elizabethtown, KY 42701
Phone (270) 230-1729
1330 N Race St
Glasgow, KY 42141
Phone (270) 629-2780
210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350
190 Shadowmeade Ln
Mt Washington, KY 40047
Phone (502) 538-2332
732 Vine St
Murray, KY 42071
Phone (270) 753-6477
235 Boggs Ln
Ste 9
Richmond, KY 40475
Phone (859) 972-8630
431 Adam Shepherd Pkwy
#1
Shepherdsville, KY 40165
Phone (502) 921-0272
Organizations & group practices 24
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.
-
- Rehabilitation Clinic/Center
- Shepherdsville, KY
- NPI 1265905665
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Jeffersonville, IN
- NPI 1851864169
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1043775521
-
- Durable Medical Equipment & Medical Supplies
- Shelbyville, KY
- NPI 1053944900
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1063978435
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1063985463
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1114482692
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1235602616
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1295208734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1760149314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 RUBY DR APT 1A",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427014674",
"telephone_number": "270-899-0285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 NATCHEZ AVE",
"address_2": "UNIT 200",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "42103",
"telephone_number": "270-796-4698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "JUSTIN",
"middle_name": "REID",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-18",
"last_updated": "2021-11-18",
"certification_date": "2021-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "245455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.