Raven Idelle Gammage, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

126901 Issued in TX

Practice address

4901 Bryant Irvin Rd N Ste 200
Fort Worth, TX 76107-7673

Phone

(817) 433-9742

NPI assigned

Sep 30, 2026

Last updated

Sep 30, 2026By 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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1043124753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 CENTRAL PARK BLVD APT 1835",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225844",
            "telephone_number": "817-433-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 BRYANT IRVIN RD N STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077673",
            "telephone_number": "817-433-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMAGE",
        "first_name": "RAVEN",
        "middle_name": "IDELLE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "126901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keaunna Shauntasia Gamble, LCSW
• Roxanna Gamez-Gonzalez
• Yvonne Yvette Gamez, MS CCC-SLP
• Safinaz Gamini, OD
• Michael Scott Gammage, BCBA
• Christina Lashell Gammer, RN
• Breanna Tuck Gammon, LCSW
• Anand Ganapathy
• Suomi Lopez Gandara, SLP-A
• Artee Gandhi, MD

• Occupational Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.