Walter M. Gorack Jr., DPT, MBA, GCS
NPI 1992098511ActiveIndividual· Physical Therapist· Avon, CT
Physical Therapist (DPT, MBA, GCS) in Avon, Connecticut, licensed in CT, with an NPI issued in May 2011. Enrolled in Medicare as practitioner - physical therapist in private practice and practitioner - physical therapist in private practice.
Overview
| NPI | 1992098511 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT, MBA, GCS |
| Sole proprietor | Yes |
| NPI issued | May 16, 2011 |
| Last updated in NPPES | Aug 2, 2024 |
| Certified by provider | Aug 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 006095 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CT); Practitioner - Physical Therapist in Private Practice (FL) |
|---|
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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