MR. JAMES GORMAN , JR. (NPI# 1568583185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568583185 |
| Entity Type | Individual |
| Full Name | MR. JAMES GORMAN , JR. |
| Credential | C.T.R.S. |
| Practice Address |
64 2nd Ave Albany NY 12202-1240 |
| Mailing Address |
21 Point View Dr East Greenbush NY 12061-1813 |
| Practice Telephone | 5184495170 |
| Practice Fax Number | 5185980493 |
| Mailing Telephone | 5184519685 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 14386 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
64 2ND AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12202-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215346549 | Danielle Towers | Registered Nurse | 64 2nd Ave, Albany, NY 12202-1240 | 2014-08-12 |
| 1326469008 | St Peters Health Partners | General Acute Care Hospital | 64 2nd Ave, Albany, NY 12202-1240 | 2013-12-23 |
| 1619308590 | Kenneth Lensford Glover I | Counselor | 64 2nd Ave, Albany, NY 12202-1240 | 2013-12-03 |
| 1740625722 | Patti Ann Young | Registered Nurse | 64 2nd Ave, Albany, NY 12202-1240 | 2013-05-06 |
| 1720331325 | Wilma Olivia Simmons | Counselor | 64 2nd Ave, Albany, NY 12202-1240 | 2012-10-19 |
| 1427324136 | Jennifer Lyons | Counselor | 64 2nd Ave, Albany, NY 12202-1240 | 2012-03-27 |
| 1881991974 | Ronald Hayes | Counselor | 64 2nd Ave, Albany, NY 12202-1240 | 2011-02-25 |
| 1053629113 | Phyllis Ann Fusco | Counselor | 64 2nd Ave, Albany, NY 12202-1240 | 2010-09-22 |
| 1821311580 | Julie Ann Christie | Counselor | 64 2nd Ave, Albany, NY 12202-1240 | 2010-03-10 |
| 1275760852 | Kyle James Ditullio | Counselor | 64 2nd Ave, Albany, NY 12202-1240 | 2009-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497282131 | Beth Laddin | Social Worker | Thomas O'brien Academy of Science and Technology School, Lincoln Park/ Delaware Ave, Albany, NY 12202 | 2017-05-12 |
| 1326448275 | Trinity Alliance of The Capital Region | Substance Abuse Rehabilitation Facility | 3 Lincoln Square, Albany, NY 12202 | 2014-08-28 |
| 1053558205 | Thomas Edward Clark | Student in an Organized Health Care Education/Training Program | 980 Western Avenue, Albany, NY 12202 | 2009-01-09 |
| 1609992478 | Margaret E Priola | Registered Nurse | 326 So Pearl Street, St. Peter's Family Health Center, Albany, NY 12202 | 2007-03-22 |
| 1770637092 | City School District of Albany | Local Education Agency (LEA) | 1 Academy Park, Elk Street, Albany, NY 12202 | 2007-01-23 |
| 1023533460 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 310 S Pearl St, Albany, NY 12202 | 2017-08-07 |
| 1952821118 | Helen Theresa Mcdonald | Family Medicine | 326 S Pearl St, Albany, NY 12202 | 2017-06-20 |
| 1619320686 | Elizabeth Carcich | Social Worker | 260 South Pearl Street, Albany, NY 12202 | 2016-07-14 |
| 1295091114 | Juan Jose Santacruz | Counselor | 64 2nd Avenue, Albany, NY 12202 | 2012-04-04 |
| 1619307535 | Karen Johnson-williams | Social Worker | 105 Mount Hope Dr, Albany, NY 12202-1009 | 2013-11-13 |
| Find all providers in zip 12202 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676216 | Michele Ferrauilo | Recreation Therapist | 113 Holland Ave, Albany, NY 12208 | 2019-12-20 |
| 1467090720 | Susan Angela Colletti | Recreation Therapist | 113 Holland Ave, Albany, NY 12208-3410 | 2019-12-18 |
| 1659919918 | Mary Nell Schmitz | Recreation Therapist | 113 Holland Ave, Albany, NY 12208-3410 | 2019-12-18 |
| 1528569449 | John G. O'connor | Recreation Therapist | 75 New Scotland Ave, Albany, NY 12208-3409 | 2018-02-26 |
| 1457850067 | Brian Skeene Jackson | Recreation Therapist | 75 New Scotland Ave, Albany, NY 12208-3409 | 2018-02-09 |
| 1144728874 | Carl Frey | Recreation Therapist | 75 New Scotland Ave, Albany, NY 12208-3409 | 2018-01-29 |
| 1447758420 | Mark Rothaupt | Recreation Therapist | 75 New Scotland Ave, Albany, NY 12208-3409 | 2018-01-25 |
| 1538667514 | David Abbenda | Recreation Therapist | 75 New Scotland Ave, Albany, NY 12208-3409 | 2018-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427540822 | Simone M Wong | Recreation Therapist | 596 Argyle Rd Apt 5, Brooklyn, NY 11230-1647 | 2018-05-31 |
| 1396257705 | Michael Krauer | Recreation Therapist | 920 48th St Rm 1515, Brooklyn, NY 11219-2918 | 2017-10-26 |
| 1962958249 | Patricia Cole | Recreation Therapist | 2049 Albany Post Road, Montrose, NY 10548 | 2016-08-28 |
| 1629422902 | Karin Harris | Recreation Therapist | 73 Fairfield St, Middleville, NY 13406-1822 | 2016-04-22 |
| 1285017608 | Jennin Mary Nangle | Recreation Therapist | 15 Borman Ct, Lake Ronkonkoma, NY 11779-1982 | 2015-07-02 |
| 1578974184 | Anthony Martino | Recreation Therapist | 26041 73rd Ave, Glen Oaks, NY 11004-1029 | 2014-05-16 |
| 1316213796 | Marianne Pastorella | Recreation Therapist | 26200 Red Tail Ln, Evans Mills, NY 13637-3436 | 2012-03-29 |
| 1942574165 | Sanya Williams | Recreation Therapist | 832 Grand Terrace Ave, North Baldwin, NY 11510-1423 | 2012-03-06 |
| 1558686642 | Janice Gully | Recreation Therapist | 82 Meadowmere Ave, Mastic, NY 11950-4606 | 2010-03-31 |
| 1265626485 | G Ruyack | Recreation Therapist | 2094 Albany Post Road Rt 9a, Montrose, NY 10548-0100 | 2007-08-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.