THOMAS GILLIS (NPI# 1255700670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255700670 |
| Entity Type | Individual |
| Full Name | THOMAS GILLIS |
| Credential | ATP |
| Practice Address |
7 Irwin Ln Berwick ME 03901-2874 |
| Practice Telephone | 2074598718 |
| Mailing Telephone | 2074598718 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225CA2400X |
Rehabilitation Counselor Specialization: Assistive Technology Practitioner |
ATP14464 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7 IRWIN LN |
| City | BERWICK |
| State | ME |
| Zip Code | 03901-2874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639484967 | Carol A Holmstock | Speech-Language Pathologist | 20 Blackberry Hill Road, Bewick, ME 03901 | 2010-08-11 |
| 1932320686 | Anne M. Picard | Pharmacist | 4 Dana Drive, Berwick, ME 03901 | 2007-05-01 |
| 1548339849 | Bradley Neal Libenson | Family Medicine | 6c School St, Berwick, ME 03901 | 2006-11-08 |
| 1558431460 | Berwick Family Health Center LLC | Family Medicine | 6c School St, Berwick, ME 03901 | 2006-11-08 |
| 1922590314 | Marie Miller | Music Therapist | 13a Morse St, Berwick, ME 03901-2233 | 2018-06-01 |
| 1285298661 | Rhythm and Strings Music Therapy, LLC | Music Therapist | 13a Morse St, Berwick, ME 03901-2233 | 2019-05-01 |
| 1316381783 | Brett Ordway | Counselor | 86 Rochester St, Berwick, ME 03901-2244 | 2013-04-29 |
| 1356658678 | At Your Home Mobile Dental Hygienist, LLC | Dental Hygienist | 245 Hubbard Rd, Berwick, ME 03901-2325 | 2010-09-08 |
| 1578816054 | Lynn Peters | Dental Hygienist | 245 Hubbard Rd, Berwick, ME 03901-2325 | 2012-10-20 |
| 1649817750 | Laura Costello | Home Health Aide | 46 Hubbard Rd, Berwick, ME 03901-2342 | 2019-12-09 |
| Find all providers in zip 03901 | ||||
| Taxonomy Code | 225CA2400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| Specialization | Assistive Technology Practitioner |
| Definition to come... |
Please comment or provide details below to improve the information on THOMAS GILLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.