TAMMY VAN GORDER
NPI 1609539436
Occupational Therapist in Fairport, NY

Active since October 19, 2021Accepts Medicare Assignment
4646 FAIRPORT NINE MILE PT RD, FAIRPORT, NY 14450(585) 377-0350 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tammy Van Gorder NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMMY VAN GORDER (NPI 1609539436) is an individual occupational therapist in Fairport, New York and active in the NPI registry since October 2021. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1609539436
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameTAMMY VAN GORDER
Location Address4646 FAIRPORT NINE MILE PT RDFairport, NY 14450-1163
Mailing Address5 Vanderberg DrFairport, NY 14450-8427 · (315) 783-7896
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 19, 2021
NPPES CertifiedOctober 19, 2021
NPI 1609539436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

4646 FAIRPORT NINE MILE PT RD, Fairport, NY 14450

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tammy Van Gorder is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729459219
PECOS Enrollment IDI20230119002729

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450
Occupational Therapist
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450
Occupational Therapist
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450
Physical Therapist
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450
Occupational Therapist
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450
Physical Therapist
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450
Family Medicine
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450
Skilled Nursing Facility
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Van Gorder's NPI number?

The NPI number for Tammy Van Gorder is 1609539436. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Where is Tammy Van Gorder located?

Tammy Van Gorder practices at 4646 Fairport Nine Mile Pt Rd, Fairport, NY 14450. The listed phone number is (585) 377-0350.

What is Tammy Van Gorder's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Tammy Van Gorder enrolled in Medicare?

Yes. Tammy Van Gorder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tammy Van Gorder was last updated on October 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.