Active NPI
Michaella Marie Gorman, OTD, OTR/L
- Occupational Therapist
- Bellevue, NE
National Provider Identifier
1083130264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2600 Arboretum Dr
Bellevue, NE 68005-3501 - Phone
- (402) 293-4032
- NPI assigned
- Aug 18, 2017
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
2600 Arboretum Dr
Bellevue, NE 68005-3501
Mailing address
5120 Webster St
Omaha, NE 68132-2242
Phone (402) 689-1191
Other practice location 1
3103 Cornelia St
Bellevue, NE 68005-4121
Phone (402) 689-1191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47600515869 | Medicaid | NE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1083130264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 WEBSTER ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681322242",
"telephone_number": "402-689-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 ARBORETUM DR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680053501",
"telephone_number": "402-293-4032"
}
],
"practiceLocations": [
{
"address_1": "3103 Cornelia St",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "NE",
"postal_code": "680054121",
"country_code": "US",
"telephone_number": "402-689-1191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORMAN",
"first_name": "MICHAELLA",
"middle_name": "MARIE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47600515869",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.