Active NPI
Katie Gorman
- Physical Therapist
- Ozark, MO
National Provider Identifier
1063298909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2023035545
- Practice address
- 5006 N 22ND St
Ozark, MO 65721-5116 - Phone
- (417) 429-2412
- NPI assigned
- Sep 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2023035545 | MO | Primary |
Addresses
Primary practice location
5006 N 22ND St
Ozark, MO 65721-5116
Mailing address
2398 West Spring Drive Apt. C203
Ozark, MO 65721
Phone (620) 215-9732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023035545 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1063298909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2398 WEST SPRING DRIVE APT. C203",
"city": "OZARK",
"state": "MO",
"postal_code": "65721",
"telephone_number": "620-215-9732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5006 N 22ND ST",
"city": "OZARK",
"state": "MO",
"postal_code": "657215116",
"telephone_number": "417-429-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-06",
"last_updated": "2023-09-06",
"certification_date": "2023-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2023035545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.