Individual provider Active NPI

Elizabeth Gormont, PT, DPT, ATC

  • Physical Therapist
  • Harrisburg, PA
National Provider Identifier
1922475565
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024487 Issued in PA
Practice address
820 Sir Thomas CT
Harrisburg, PA 17109-4839
Phone
(717) 724-4870
Fax
(888) 974-7888
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT024487 PA Primary

Addresses

Primary practice location

820 Sir Thomas CT
Harrisburg, PA 17109-4839

Mailing address

820 Sir Thomas CT
Harrisburg, PA 17109-4839
Phone (717) 724-4870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151020002564 PA Practitioner - Physical Therapist in Private Practice 6305155011 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT024487PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
FC Select LLC Physical Therapist CurrentSince Aug 27, 2015 Accepting new patients
PHS Physical Therapy, LLC Physical Therapist CurrentSince Aug 27, 2015 Accepting new patients
PHS Physical Therapy, LLC CurrentSince Aug 27, 2015 Accepting new patients
PSHR Physical Therapy, LLC Physical Therapist CurrentSince Mar 22, 2017 Accepting new patients

Locations

1 Valley St
Ste 104
Carlisle, PA 17013
Phone (717) 241-2247

820 Sir Thomas Ct
Harrisburg, PA 17109
Phone (717) 724-4870

4033 Linglestown Rd
Ste 2
Harrisburg, PA 17112
Phone (717) 657-8240

308 Hockersville Rd
Hershey, PA 17033
Phone (717) 298-1411

912 Russell Dr
Lebanon, PA 17042
Phone (717) 272-7971

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

6108 Carlisle Pike
#27041
Mechanicsburg, PA 17050
Phone (717) 591-9118

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1922475565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SIR THOMAS CT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-724-4870",
            "fax_number": "888-974-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SIR THOMAS CT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-724-4870",
            "fax_number": "888-974-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMONT",
        "first_name": "ELIZABETH",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.