Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMY MAC GORMAN, MOTR
Active Sole ProprietorMR. JEREMY MAC GORMAN, MOTR is a Occupational Therapist healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1740487016 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT CAMPBELL, KY
Registration Details
- NPI Number
- 1740487016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2007 (19.084749733747 yrs)
- Last Updated
- Apr 30, 2025
- License
-
31004355A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 JOEL DRFORT CAMPBELL, KY, 422235318Browse KY providers · Browse ZIP 42223
- Phone
- 2707988085
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in FORT CAMPBELL, KY
| Name | Credential | NPI |
|---|---|---|
| MR. MARJORIE C BEASLEY SR. | — | 1639145287 |
| SARAH A MITSCH | OTR/L | 1538243985 |
| KAREN P LUISI | — | 1982763769 |
| HEIDEMARIE BURTON | OTR | 1316085871 |
| JENNIFER LYNN HUNT | OTR/L | 1437315793 |
| SARA TERESA POLANCO | OTR/L, DSC | 1538305271 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.