Alex Gordon, PT, DPT
Individual provider Active NPI Physical Therapist · Machias, NY
NPI 1124632450 · NPPES record last updated Sep 3, 2020
Key facts
- NPI
- 1124632450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 045977 (NY)
- Practice address
- The Pines 9822 Ny-16
Machias, NY 14101 - Phone
- (716) 353-8516
- NPI assigned
- Sep 3, 2020
- 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 |
|---|---|---|---|
| 045977 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 045977 | NY | Yes |
Addresses
Primary practice location
The Pines 9822 Ny-16
Machias, NY 14101
Mailing address
79 Kenview Ave
Tonawanda, NY 14217-1417
Phone (716) 698-7152
Other providers in Machias, NY
- County of Cattaraugus
- Margaret Crowe
- Lori Lynn Debeau
- Jill Ann Dziedzic
- Sidney Elizabeth Earley
- Kaitlyn Anne Hamilton
- Jennifer Lee Hinz
- Brenna Litwinski
- Sandra Ann McMannus
- Bruce D Saltsman II
All providers in Machias, 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 Sep 3, 2020. 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.