Jed Gorman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305210270 Issued in VA

Practice address

7226B Williamson Rd
Roanoke, VA 24019-4264

Phone

(540) 366-9245

NPI assigned

Jun 13, 2016

Last updated

Jun 13, 2016By the provider in NPPES

Sex

Male

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

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lucas Physical Therapy IncGroup PAC ID 8123087970, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Lucas Physical Therapy Inc

  dba Lucas Therapies PC

  • Physical Therapist
  • Roanoke, VA
  • NPI 1285774745
  Medicare reassignment Care Compare group NPD
• Spine and Orthopedic Rehab of VA Inc

  • Physical Therapist
  • Roanoke, VA
  • NPI 1295831113
  Medicare reassignment NPD
• Spine and Orthopedic Rehab of VA Inc

  • Physical Therapist
  • Roanoke, VA
  • NPI 1720184732
  NPD

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1346699170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 CORNWALLIS AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240143339",
            "telephone_number": "919-695-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7226B WILLIAMSON RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194264",
            "telephone_number": "540-366-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "JED",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Goodwin, PHARMD
• Justin Reece Goolcharan, M.D.
• Douglas James Gordon, DO
• Jared Junior Jacob Gordon, MD
• Jarel Gordon, BCBA
• Kevin Hans Goslen, MD
• Caitlin Dianna Gove, FNP-BC
• Nicole Graboski
• Jamie M Grace
• Allison Phillips Graham

• Physical Therapist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.