Active NPI
Nancy C Gavaghan, CTRS
- Recreation Therapist
- Orlando, FL
National Provider Identifier
1063453793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Practice address
- 5201 Raymond St
Orlando, FL 32803-8208 - Phone
- (407) 599-1517
- NPI assigned
- Jun 10, 2006
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | FL | Primary |
Addresses
Primary practice location
5201 Raymond St
Orlando, FL 32803-8208
Mailing address
3182 Battersea Way
Winter Park, FL 32792-8136
Phone (407) 599-1517
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 |
|---|---|---|---|
| 225800000X | FL | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063453793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3182 BATTERSEA WAY",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327928136",
"telephone_number": "407-599-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 RAYMOND ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328038208",
"telephone_number": "407-599-1517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVAGHAN",
"first_name": "NANCY",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.