Jillian Gorman, PTA
Clinic/Center, Rehabilitation in Raleigh, North Carolina
1932772860- Practice location
- 4911 Tall Timber Dr Apt 104, Raleigh, NC 27612-6023
- Phone
- 203-560-3380
- Fax
- —
- Last updated
- July 19, 2021
Jillian Gorman is a Clinic/Center, Rehabilitation based in Raleigh, NC. Jillian Gorman practices in Raleigh, NC and has the professional credentials of PTA. The NPI Number for Jillian Gorman is 1932772860 and holds a License No. 2033 (CT). The current practice location address for Jillian Gorman is 4911 Tall Timber Dr Apt 104, Raleigh, NC 27612-6023 and can be reached out via phone at 203-560-3380.
Provider Profile Details
- NPI Number
- 1932772860
- Provider Name
- Jillian Gorman
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4911 Tall Timber Dr Apt 104, Raleigh, NC 27612-6023
- Phone Number
- 203-560-3380
- Primary Taxonomy
- Clinic/Center, Rehabilitation · 261QR0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 19, 2021
- Last Update Date
- July 19, 2021
- Certification Date
- July 19, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4911 Tall Timber Dr Apt 104
Raleigh, NC 27612-6023 - City
- Raleigh
- State
- North Carolina
- Zip
- 27612-6023
- Phone Number
- 203-560-3380
Provider Business Mailing Address Details
- Address
- 4911 Tall Timber Dr Apt 104
Raleigh, NC 27612-6023 - City
- Raleigh
- State
- NC
- Zip
- 27612-6023
- Phone Number
- 203-560-3380
License Information
- License Number
- 2033
- License State
- CT
- Taxonomy
- Clinic/Center, Rehabilitation · 261QR0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jillian Gorman, PTA?
The NPI number of Jillian Gorman, PTA is 1932772860. It was assigned on July 19, 2021 and is currently active in the NPPES registry.
What is the specialty of Jillian Gorman, PTA?
Jillian Gorman, PTA is registered under the primary taxonomy Clinic/Center, Rehabilitation (code 261QR0400X), licensed in CT under license number 2033.
Where does Jillian Gorman, PTA practice?
The practice location is 4911 Tall Timber Dr Apt 104, Raleigh, NC 27612-6023. The office can be reached at 203-560-3380 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932772860 directly on the NPPES registry website.