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

Tammy Van Gorder

Individual provider Occupational Therapist · NPI 1609539436

Tammy Van Gorder is an Occupational Therapist in Private Practice in Fairport, New York. Qualified in 1994, 32 years ago. Practices with Onr National Speech Pathology Inc, a 60-clinician group and accepts Medicare assignment.

Years since qualifying
32
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4646 Fairport Nine Mile Pt Rd
Fairport, NY 14450-1163
Phone: (585) 377-0350
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1609539436
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2021
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021
Mailing address5 Vanderberg Dr, Fairport, NY 14450-8427

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Onr National Speech Pathology Inc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairport