Michael C Gormley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001405 Issued in NY

Practice address

549 4TH St
Niagara Falls, NY 14301-1530

Phone

(716) 284-2848

Fax

(716) 284-2848

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1972614220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 4TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011530",
            "telephone_number": "716-284-2848",
            "fax_number": "716-284-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 4TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011530",
            "telephone_number": "716-284-2848",
            "fax_number": "716-284-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMLEY",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "001405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010236301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000607209001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00609485",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9308303",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Goodrich, LMHC
• Leslie Ann Goodwin
• Marvin Earl Goodwin Jr.
• Barbara L Gordon
• Steven Gordon, MD
• Dina Gorzynski
• Steven Vincent Grabiec, M.D.
• Jaclyn M Grace
• Rachel Graci, FNP
• Marquitta A Graham

• Physical Therapist in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.