Michael J Gorman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

103326 Issued in MO

Practice address

17300 North Outer Forty
Suite 205
Chesterfield, MO 63005-1361

Phone

(636) 728-1777

Fax

(636) 728-1793

NPI assigned

Jul 9, 2006

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 MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imove Telept, LLCGroup PAC ID 0244661544, 3 clinicians

Compass Capital LLCGroup PAC ID 2961970892, 3 clinicians

JDV Physical Therapy LLCGroup PAC ID 6406205509, 2 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 and National Provider Directory roles.

• Imove Telept, LLC

  • Physical Therapist
  • Chesterfield, MO
  • NPI 1548896442
  Medicare reassignment Care Compare group NPD Authorized official
• Compass Capital LLC

  • Physical Therapy Clinic/Center
  • Chesterfield, MO
  • NPI 1104772581
  Medicare reassignment Care Compare group NPD
• JDV Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Saint Louis, MO
  • NPI 1861274284

  Physical Therapist

  Care Compare group NPD
• CVPT-Olivette, LLC

  • Physical Therapy Clinic/Center
  • Olivette, MO
  • NPI 1457464323

  Physical Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1790718930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 NORTH OUTER FORTY RD",
            "address_2": "SUITE 205",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051361",
            "telephone_number": "636-728-1777",
            "fax_number": "636-728-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 NORTH OUTER FORTY",
            "address_2": "SUITE 205",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051361",
            "telephone_number": "636-728-1777",
            "fax_number": "636-728-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "103326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narasimha R Gondipalli, MD
• Gopal K Nair, MD, PC
• Keelara T Gopalan, MD
• Lisa Goran, MS,CCC-SLP
• Eliza Lee Gordon, PHD
• Matthew F Gornet, M.D.
• Dawn Renee Gorski, PTA
• Gotchurback LLC
• Derek Gould, PT
• Julie Ann Gould, D.O.

• Physical Therapist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.