Brock A Gorman, OT
Occupational Therapist in Glen Ellyn, IL. Individual provider (NPI-1).
NPI number1508103136
StatusActive
Last updated in NPPESJan 16, 2013
Details
- NPI
- 1508103136
- Entity type
- Individual (NPI-1)
- Name
- Brock A Gorman
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2013
- Last updated
- Jan 16, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 056009986 | IL | Yes |
Practice location
430 Pennsylvania AveGlen Ellyn, IL 60137-4464
Phone 630-545-7801
Mailing address
1860 Paysphere CirChicago, IL 60674-0018
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 19 Occupational Therapist providers in Glen Ellyn · All 942 providers in Glen Ellyn
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