Timothy Gorges, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

845 S Main St Ste 120
Fond Du Lac, WI 54935-6116

Phone

(920) 322-0447

Fax

(920) 322-1362

NPI assigned

Dec 16, 2015

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 WI

Enrollment records 1

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 and National Provider Directory roles.

• Fox Rehabilitation Services Wi LLC

  • Physical Therapist
  • Milwaukee, WI
  • NPI 1518483973
  Medicare reassignment NPD
• Rehab Arisces Home Health Services

  • Home Health Agency
  • Fond Du Lac, WI
  • NPI 1740626332
  NPD (past)
• Taylored Rehab, LLC

  • Physical Therapy Clinic/Center
  • Fond Du Lac, WI
  • NPI 1356485791

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1497110530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 S MAIN ST STE 120",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549356116",
            "telephone_number": "920-322-0447",
            "fax_number": "920-322-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S MAIN ST STE 120",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549356116",
            "telephone_number": "920-322-0447",
            "fax_number": "920-322-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORGES",
        "first_name": "TIMOTHY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrina Kay Goeden, APNP
• Chad Goeke, D.M.D.
• Shannon E Goeke, DPT
• Golden High LLC
• Nancy L Goranson, PHD
• Elizabeth A Gorman, MS CCC-A
• Michael J Grahl, M.D.
• Shaunie Elizabeth Grams, LCSW
• Grancare Inc
• Eleanor R Grant

• Physical Therapist in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.