Active NPI
Kimberly Gorman
- Occupational Therapist
- Katy, TX
National Provider Identifier
1669718375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 115160
- Practice address
- 21938 Royal Montreal Dr
Katy, TX 77450-5142 - Phone
- (281) 944-0001
- NPI assigned
- Dec 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 115160 | TX | Primary |
Addresses
Primary practice location
21938 Royal Montreal Dr
Katy, TX 77450-5142
Mailing address
27443 N Saddle Creek LN
Fulshear, TX 77441-1108
Phone (720) 209-2101
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 |
|---|---|---|---|
| 115160 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362873600000",
"number": "1669718375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27443 N SADDLE CREEK LN",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774411108",
"telephone_number": "720-209-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21938 ROYAL MONTREAL DR",
"city": "KATY",
"state": "TX",
"postal_code": "774505142",
"telephone_number": "281-944-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-27",
"last_updated": "2013-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "115160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.