Individual provider · Type 1 NPI

Raven Idelle Gammage, OTD, OTR/L

Occupational Therapist · Fort Worth, TX

NPI number 1043124753 Active

Practice location

4901 Bryant Irvin Rd N Ste 200
Fort Worth, TX 76107-7673

Call (817) 433-9742 Map

Mailing address

2516 Central Park Blvd Apt 1835
Bedford, TX 76022-5844

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X126901 (TX)

Occupational Therapist: 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…

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About NPI 1043124753

Raven Idelle Gammage, OTD, OTR/L's National Provider Identifier is 1043124753, issued on Sep 30, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 30, 2026.