JILLIAN GORMAN PTA NPI 1932772860

NPI Information

  • NPI: 1932772860
  • Provider Name: JILLIAN GORMAN, PTA
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Individual
  • Address: 4911 TALL TIMBER DR APT 104
    RALEIGH, NC
    ZIP 27612
  • Phone: (203) 560-3380

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NPI Details

Jillian Gorman, PTA is a rehabilitation clinic center in Raleigh, NC. Jillian Gorman, PTA NPI is 1932772860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4911 TALL TIMBER DR APT 104
RALEIGH, NC
ZIP 27612-023
Phone: (203) 560-3380

The enumeration date for this NPI number is 7/19/2021 and was last updated on 7/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitation2033CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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