MEDICARE: ABIGAEL GORMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	18314	NC

General Provider Information

NPI Number	:	1821943945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAEL GORMAN

Provider Business Mailing Address
First Line	:	8 ANTONIO CT
Second Line	:
City	:	ENDICOTT
State	:	NY
Zip	:	13760-6530
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 CASCADE POINTE LN STE 103
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-5824
Country	:	US
Telephone Number	:	919-844-6611
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/09/2026

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Directions to “ ABIGAEL GORMAN ” Practice Location

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