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Peter G Gorman

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

16611 S 40th St, Ste 130, Phoenix, AZ 85048-0562

PECOS Enrollment

Based on the most recent information from CMS, provider Peter G Gorman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 15 days ago.

Profile Details

Provider ID
1871872267
Provider Type
Individual
Full Name
Gorman, Peter G
Credential
DPT

Gender
Male
Sole Proprietor
No
Enumeration Date
8/16/2011
Last Updated
2/24/2022

Contact Information

Practice Location

16611 S 40th St, Ste 130, Phoenix, AZ 85048-0562

(480) 706-1199

(480) 706-3999

Mailing Location

9097 E Desert Cove Ave, Ste 110, Scottsdale, AZ 85260-6279

(480) 551-4961

(480) 860-0356

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 9410 Arizona
Code 2251S0007X	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer
Code 2251X0800X	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer

Peter G Gorman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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