Individual provider Active NPI

Sophie Gormley, OTR/L

  • Occupational Therapist
  • Providence, RI
National Provider Identifier
1114583986
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT01806 Issued in RI
Practice address
285 Promenade St
Providence, RI 02908-5794
Phone
(401) 777-7000
Fax
(401) 459-4010
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT01806 RI Primary

Addresses

Primary practice location

285 Promenade St
Providence, RI 02908-5794

Mailing address

285 Promenade St
Providence, RI 02908-5794
Phone (401) 777-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190726000172 RI Practitioner - Occupational Therapist in Private Practice 0941536080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics Rhode Island IncGroup PAC ID 7012225907, 123 clinicians

Practice addresses (Care Compare)

300 Crossings Blvd
Warwick, RI 02886-2878
Phone (401) 777-7000

900 Warren Ave
Suite 202
East Providence, RI 02914-1430
Phone (401) 777-7000

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Rhode Island, Inc Occupational Therapist CurrentSince Jun 15, 2019 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Jun 15, 2019 Accepting new patients

Locations

285 Promenade St
Providence, RI 02908
Phone (401) 459-4001

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1114583986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 PROMENADE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029085794",
            "telephone_number": "401-777-7000",
            "fax_number": "401-459-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 PROMENADE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029085794",
            "telephone_number": "401-777-7000",
            "fax_number": "401-459-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMLEY",
        "first_name": "SOPHIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT01806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.