Brenna Joe Gallagher, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

81392 Issued in MI

Practice address

414 Benson Ave NE Apt 1444
Grand Rapids, MI 49503-0023

Phone

(586) 784-8743

NPI assigned

May 2, 2019

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1891350153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1057",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493011057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 BENSON AVE NE APT 1444",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495030023",
            "telephone_number": "586-784-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "BRENNA",
        "middle_name": "JOE",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "MI",
            "license": "81392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCTRS",
            "identifier": "81392",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMETRICS",
            "identifier": "MI000023438",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christa Marie Galer, LMSW, CAADC, CCS
• Alyssa Mary Galganski, PA
• Megan L Galganski, PA-C
• Joan Galinski, MSW ACSW
• Bernadette Marion Gallagher
• Brionna Marie Gallagher, FNP-BC
• Leslie A Gallagher, LLMSW
• Meghan Gallagher
• Shadia Lynn Gallagher, NP
• Gabriel Enrique Gallardo, M.D.

• Recreation Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Recreation Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.