Active NPI
Christen Kay Gorman, DPT
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1598043879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9438
- Practice address
- 16611 S 40TH St Ste 130
Phoenix, AZ 85048-0564 - Phone
- (480) 706-1199
- Fax
- (480) 706-3999
- NPI assigned
- Aug 3, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | |||
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapist | 225100000X | 9438 | AZ | Primary |
Addresses
Primary practice location
16611 S 40TH St Ste 130
Phoenix, AZ 85048-0564
Mailing address
9097 E Desert Cove Ave Ste 110
Scottsdale, AZ 85260-6276
Phone (602) 329-8250
Other practice location 1
3777 S Newport St
Chandler, AZ 85286-2592
Phone (314) 629-5399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 695387 | Medicaid | AZ |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9438 | AZ | MD | Chiropractor |
Interoperability endpoints
- christen.gorman.p6@direct.athleticoltd.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1598043879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9097 E DESERT COVE AVE STE 110",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606276",
"telephone_number": "602-329-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16611 S 40TH ST STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850480564",
"telephone_number": "480-706-1199",
"fax_number": "480-706-3999"
}
],
"practiceLocations": [
{
"address_1": "3777 S Newport St",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852862592",
"country_code": "US",
"telephone_number": "314-629-5399",
"fax_number": "480-807-1782",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORMAN",
"first_name": "CHRISTEN",
"middle_name": "KAY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-03",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "9438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "695387",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.