Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Kathleen Gorman

Individual provider Physical Therapist · NPI 1053048355

Mary Kathleen Gorman is a Physical Therapist in Private Practice in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Invictus Physical Therapy LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
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Practice location Address checks out

511 N Broad St
Philadelphia, PA 19123-3230
Phone: (215) 923-6031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT030588 (PA)

Record details

NPI number1053048355
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2022
Last updated in NPPESAugust 5, 2022
Certification dateAugust 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Invictus Physical Therapy Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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