Active NPI
Perry Gordon, DPT
- Physical Therapist
- Los Gatos, CA
National Provider Identifier
1063690402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33927
- Practice address
- 15100 Los Gatos Blvd.
Suite #1
Los Gatos, CA 95032 - Phone
- (408) 358-1460
- Fax
- (408) 358-1459
- NPI assigned
- Feb 7, 2008
- Last updated
- Feb 26, 2018
- Sex
- Male
- 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 | PT33927 | CA | Primary |
Addresses
Primary practice location
15100 Los Gatos Blvd.
Suite #1
Los Gatos, CA 95032
Mailing address
4205 San Felipe Rd
Ste 100
San Jose, CA 95135-1546
Phone (408) 238-1552
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Creek Fitness and Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Los Gatos Orthopedic Sports Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| South Valley Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Los Gatos Hand Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Los Gatos, CA
- NPI 1992371967
-
- Orthopedic Physical Therapist
- Los Gatos, CA
- NPI 1366510414
-
dba Silver Creek Physical Therapy
- Physical Therapist
- San Jose, CA
- NPI 1063510337
-
- Physical Therapist
- San Jose, CA
- NPI 1437247178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519603200000",
"number": "1063690402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 SAN FELIPE RD",
"address_2": "STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951351546",
"telephone_number": "408-238-1552",
"fax_number": "408-841-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15100 LOS GATOS BLVD.",
"address_2": "SUITE #1",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "95032",
"telephone_number": "408-358-1460",
"fax_number": "408-358-1459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "PERRY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-07",
"last_updated": "2018-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT33927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.