Active NPI
Gabrielle A Gordon, DPT
- Physical Therapist
- Sparta, NJ
National Provider Identifier
1023264660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01282300
- Practice address
- 540 Lafayette Rd
Suite B
Sparta, NJ 07871-3497 - Phone
- (973) 940-8680
- Fax
- (973) 940-8634
- NPI assigned
- Aug 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01282300 | NJ | Primary |
Addresses
Primary practice location
540 Lafayette Rd
Suite B
Sparta, NJ 07871-3497
Mailing address
540 Lafayette Rd
Suite B
Sparta, NJ 07871-3497
Phone (973) 940-8680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01282300 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1023264660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 LAFAYETTE RD",
"address_2": "SUITE B",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078713497",
"telephone_number": "973-940-8680",
"fax_number": "973-940-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 LAFAYETTE RD",
"address_2": "SUITE B",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078713497",
"telephone_number": "973-940-8680",
"fax_number": "973-940-8634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "GABRIELLE",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01282300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.