Stacey Lee Gallagher, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6023 Issued in ME

Practice address

331 Veranda St RM 3311
Portland, ME 04103-5545

Phone

(207) 536-0702

Fax

(207) 536-0785

NPI assigned

Aug 17, 2021

Last updated

Aug 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Rehabilitation Network LLCGroup PAC ID 7618872086, 105 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pinnacle Rehabilitation Network, LLC

  dba Advanced Physical Therapy

  • Physical Therapist
  • Scarborough, ME
  • NPI 1437247095
  Medicare reassignment Care Compare group NPD
• Pinnacle Rehabilitation Network LLC

  dba Waypoint Physical Therapy

  • Physical Therapist
  • Freeport, ME
  • NPI 1235940388
  NPD
• Pinnacle Rehabilitation Network, LLC

  dba Proactive Physical Therapy

  • Physical Therapist
  • Lewiston, ME
  • NPI 1285813246
  NPD
• Pinnacle Rehabilitation Network, LLC

  dba Elevate Physical Therapy

  • Physical Therapist
  • Gorham, ME
  • NPI 1598319758
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1861168338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD UNIT 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652440",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 VERANDA ST RM 3311",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035545",
            "telephone_number": "207-536-0702",
            "fax_number": "207-536-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "STACEY",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Francis Galarraga, LCPC-C
• Molly Sue Galasyn, PA
• Kaleigh Madison Gale
• John Gallagher, D.C.
• Kristin Gallagher, PA-C
• Francesca Maria Gallant, CADC
• Julia Gallant, PMHNP
• Lauren Ashely Gallant, DMD
• James W Gallea, MD
• Jordan Gallo, M.D.

• Physical Therapist in Portland, ME
• Providers in Portland, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.