Peter Gordon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017066 Issued in NY

Practice address

349 W Commercial St
Ste 1275
E Rochester, NY 14445-2407

Phone

(585) 264-0370

Fax

(585) 264-0432

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shuman Physical Therapy

  dba PianoWorks Physical THerapy

  • Physical Therapist
  • E Rochester, NY
  • NPI 1447392170
  NPD (past)
• Shuman Physical Therapy Associates, P.C.

  dba Lattimore Physical Therapy

  • Physical Therapist
  • Rochester, NY
  • NPI 1003928755
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205956109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LATTIMORE RD",
            "address_2": "STE 178",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204159",
            "telephone_number": "585-442-9110",
            "fax_number": "585-442-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 W COMMERCIAL ST",
            "address_2": "STE 1275",
            "city": "E ROCHESTER",
            "state": "NY",
            "postal_code": "144452407",
            "telephone_number": "585-264-0370",
            "fax_number": "585-264-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "PETER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Clemens, P. T.
• Kellie Elizabeth Degraff, LPN
• Bethany Lynn Delay, PT
• Leah Gerenski, DPT
• Meghan Marie Grace, DPT
• Aaron John Greer, P.T.
• Phaedra G. Harbaugh, D.D.S.
• Harmony Cares Ny Medical Services PLLC (Harmony Cares Health Services)
• Megan Renee Keller, LCSW

• Physical Therapist in E Rochester, NY
• Providers in E Rochester, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.