Jordan Stephen Gaydos, PT, DPT
Individual provider Active NPI Physical Therapist · Lancaster, NY
NPI 1003783796 · NPPES record last updated Oct 20, 2025
Key facts
- NPI
- 1003783796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 054798-01 (NY)
- Practice address
- 1818 Como Park Blvd
Lancaster, NY 14086-2824 - Phone
- (716) 545-0303
- NPI assigned
- Oct 20, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054798-01 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 054798-01 | NY | Yes |
Addresses
Primary practice location
1818 Como Park Blvd
Lancaster, NY 14086-2824
Mailing address
7248 Ashley LN
North Tonawanda, NY 14120-3604
Phone (716) 545-0303
Other providers in Lancaster, NY
- Donna J Fraser
- Melissa Frawley
- Jacqueline Ann Gallagher
- Susan Garguiolo
- Amy Elizabeth Gattuso
- Wendy Gellman
- Tiffany Boquard Genewick
- Leigh George
- Allyson Ann Goff
- Kara Good
All providers in Lancaster, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.