Gallant Therapy Services is a
Day Training, Developmentally Disabled Services based in Augusta, Maine. Gallant Therapy Services is licensed to practice in * (Not Available) (license number ) and their current practice location is
12 Shuman Ave Ste 16, Augusta, Maine. It can be reached at their office (for appointments etc.) via phone at
(207) 623-3900.
NPI number for Gallant Therapy Services is 1124253760 and their current mailing address is 12 Spruce St., Suite 3, Augusta, Maine. Gallant Therapy Services
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1124253760.
Healthcare Provider's Profile
| Full Name | Gallant Therapy Services |
|---|
| Type | Facility |
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| Speciality | Day Training, Developmentally Disabled Services |
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| Location | 12 Shuman Ave Ste 16, Augusta, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124253760
- Provider Enumeration Date: 05/27/2009
- Last Update Date: 04/12/2024
Medical Identifiers
Medical identifiers for Gallant Therapy Services such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124253760 | NPI | - | NPPES |
| 172740000 | Medicaid | ME | |
| 434551000 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gallant Therapy Services is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gallant Therapy Services
12 Spruce St., Suite 3,
Augusta, ME 04330-7886
Ph: (207) 623-3900 | Gallant Therapy Services
12 Shuman Ave Ste 16,
Augusta, ME 04330-6020
Ph: (207) 623-3900 |
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