Active NPI
James Gorman , Jr., C.T.R.S.
- Recreation Therapist
- Albany, NY
National Provider Identifier
1568583185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 14386
- Practice address
- 64 2ND Ave
Albany, NY 12202-1240 - Phone
- (518) 449-5170
- Fax
- (518) 598-0493
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- 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 | 14386 | NY | Primary |
Addresses
Primary practice location
64 2ND Ave
Albany, NY 12202-1240
Mailing address
21 Point View Dr
East Greenbush, NY 12061-1813
Phone (518) 451-9685
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 |
|---|---|---|---|
| 14386 | NY | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568583185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 POINT VIEW DR",
"city": "EAST GREENBUSH",
"state": "NY",
"postal_code": "120611813",
"telephone_number": "518-451-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 2ND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122021240",
"telephone_number": "518-449-5170",
"fax_number": "518-598-0493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN , JR.",
"first_name": "JAMES",
"name_prefix": "Mr.",
"credential": "C.T.R.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NY",
"license": "14386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.