Tara Gordon

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT.PT.70122552-CP Issued in WA

Practice address

732 Lebo Blvd
Bremerton, WA 98310-3325

Phone

(360) 627-8041

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, WA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians

Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Northwest Center for Sports Medicine and Physical Therapy IncGroup PAC ID 1759278542, 88 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Atlantic Physical Therapy Center

  • Orthopedic Physical Therapist
  • Toms River, NJ
  • NPI 1801857917
  Medicare reassignment Care Compare group NPD
• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  Medicare reassignment Care Compare group NPD
• Northwest Center for Sports Medicine & Physical Therapy, Inc.

  • Physical Therapist
  • Gig Harbor, WA
  • NPI 1982755070
  Medicare reassignment Care Compare group
• Atlantic Physical Therapy Center

  • Hand Occupational Therapist
  • Oakhurst, NJ
  • NPI 1659945228
  NPD
• Ivyrehab Network Inc

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1861623753
  NPD
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Physical Therapist

  NPD

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1285328278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-702-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 LEBO BLVD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103325",
            "telephone_number": "360-627-8041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2915 Ridgeway Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NJ",
            "postal_code": "087594755",
            "country_code": "US",
            "telephone_number": "732-657-7900",
            "fax_number": "732-719-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02173600",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT.PT.70122552-CP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryanne Goodsel
• Cindy Lynn Goodspeed, LMP
• Caleb Gorda
• Patricia Irene Gordon-Rice, M.A, M.A.
• Julianne Aaby Gordon, DPT
• Varee Lyn Gordon, M.S. CCC-SLP
• Larry Michael Gorman, M.D.
• Joseph P Goularte Jr.
• Joshua Aaron Gowan, COTAL
• Eric Graden

• Physical Therapist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.