Sophie Gormley, OTR/L - Medicare Occupational Therapist in Providence, RI

Sophie Gormley, OTR/L is a medicare enrolled "Occupational Therapist" provider in Providence, Rhode Island. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Orthopedics Rhode Island Inc and her current practice location is 285 Promenade St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 777-7000.

Sophie Gormley is licensed to practice in Rhode Island (license number OT01806) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114583986.

Contact Information

Sophie Gormley, OTR/L
285 Promenade St,
Providence, RI 02908-5794
(401) 777-7000
(401) 459-4010

Map and Direction




Healthcare Provider's Profile

Full NameSophie Gormley
GenderFemale
SpecialityOccupational Therapy
Experience5 Years
Location285 Promenade St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sophie Gormley graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1114583986
  • Provider Enumeration Date: 05/16/2019
  • Last Update Date: 06/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0941536080
  • Enrollment ID: I20190726000172

Medical Identifiers

Medical identifiers for Sophie Gormley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114583986NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT01806 (Rhode Island)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthopedics Rhode Island Inc7012225907107

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sophie Gormley allows following entities to bill medicare on her behalf.
Provider NameOrthopedics Rhode Island Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1407231293
PECOS PAC ID: 7012225907
Enrollment ID: O20150925001150

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophie Gormley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sophie Gormley, OTR/L
285 Promenade St,
Providence, RI 02908-5794

Ph: (401) 777-7000
Sophie Gormley, OTR/L
285 Promenade St,
Providence, RI 02908-5794

Ph: (401) 777-7000

Reviews and Comments


Occupational Therapist in Providence, RI

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Mrs. Kelly L. Klampert, OTR L
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Kristen Laurie Bourque,
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Practice Location: 1000 Eddy St, Providence, RI 02905
Phone: 401-533-9165    Fax: 401-533-9105
Miss Christa N Fadden, OTR
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Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8661    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.