Jeremy Mac Gorman in Fort Campbell - Occupational Therapist
Jeremy Mac Gorman - NPI 1740487016
Jeremy Mac Gorman is a Occupational Therapist in Fort Campbell, Kentucky. Jeremy Mac Gorman practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jeremy Mac Gorman is 1740487016. The last update date is 2019-02-20.
Jeremy Mac Gorman's current location address is 650 Joel Dr, Fort Campbell, Kentucky. You can contact this provider via phone number 9315428411. The mailing address for Jeremy Mac Gorman is 650 Joel Dr, Fort Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Mac Gorman |
|---|---|
| Address | 650 Joel Dr, Fort Campbell, Kentucky |
| Phone Number | 9315428411 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MOTR |
NPI Number Detail
| NPI Number | 1740487016 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2019-02-20 |
Provider Mailing Address Detail
| Address | 650 Joel Dr |
|---|---|
| City | Fort Campbell |
| State | Kentucky (KY) |
| Post Code | 422235318 |
| Phone Number | 9315428411 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 31004355A |
|
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 155238 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeremy Mac Gorman by the Centers for Medicare & Medicaid Services?
The Jeremy Mac Gorman has been assigned the NPI (National Provider Identifier) 1740487016. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jeremy Mac Gorman's physical address?
The Jeremy Mac Gorman is physically located at 650 Joel Dr, in the city of Fort Campbell, KY, with the postal code 422235318.
What is the area of specialization for Jeremy Mac Gorman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeremy Mac Gorman is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740487016 to Jeremy Mac Gorman?
The Centers for Medicare & Medicaid Services originally issued the 1740487016 to Jeremy Mac Gorman on 2007-06-29.
When was the information related to Jeremy Mac Gorman most recently updated or refreshed?
The details pertaining to the Jeremy Mac Gorman, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-02-20.