Martha J Gallagher, LOTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTT.Z10170 Issued in LA

Practice address

1201 Atkins Rd
Ruston, LA 71270-8717

Phone

(318) 255-9105

NPI assigned

Jan 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1902082241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1331",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712731331",
            "telephone_number": "318-255-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ATKINS RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712708717",
            "telephone_number": "318-255-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "MARTHA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "OTT.Z10170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300454",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freds Stores of Tennessee Inc (Freds Pharmacy 1744)
• Elizabeth A Freeman, LPC
• Sunnie S. Frost, MSW, CSW
• Charles A. Furr III, PA
• Heather Jewell Furr
• Melissa L Gallagher
• Christy Michelle Gallot, NURSE PRACTITIONER
• Mark Douglas Ganey, PA-C
• Felicia Gant
• Aurelio Garcia Jr.

• Pediatric Occupational Therapist in Ruston, LA
• Providers in Ruston, LA by specialty
• Pediatric Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.