Jeanne Gallien Gorman, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1581 Issued in OK

Practice address

2208 N Yellowood Ave
Broken Arrow, OK 74012-9102

Phone

(918) 286-1261

NPI assigned

Jul 1, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Autism Behavior Consultants of Oklahoma, LTD

  • Specialist
  • Broken Arrow, OK
  • NPI 1417251547
  NPD (past)
• Four State Rehabilitation

  • Specialist
  • Broken Arrow, OK
  • NPI 1275759664
  NPD (past)

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1992967749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 N YELLOWOOD AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129102",
            "telephone_number": "918-286-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 N YELLOWOOD AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129102",
            "telephone_number": "918-286-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIEN GORMAN",
        "first_name": "JEANNE",
        "credential": "OTR L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "1581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Christine Fulton, OD
• Fun-Ctional Therapy, Inc.
• Functional Foundations Speech Therapy PLLC
• Caylie Ann Funk
• Brooke Elizabeth Gage, LPC
• Jaimie Lynn Gamez
• Melissa Gantz, LCSW
• Daija Marie Garcia
• Emma Grace Gardner
• Jaime Louise Gardner, RD/LD

• Occupational Therapist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.