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

Mr. Jeremy Mac Gorman, MOTR

Individual provider Occupational Therapist · NPI 1740487016

Mr. Jeremy Mac Gorman, MOTR is an Occupational Therapist in Fort Campbell, Kentucky. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2007

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8085
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 31004355A (IN)

Record details

NPI number1740487016
Entity typeIndividual (Type 1)
GenderMale
Credentials MOTR
Sole proprietorYes
NPI enumeratedJune 29, 2007
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

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