Dana Abel Gordon, PT,DPT

Individual provider Active NPI Physical Therapist · Point Pleasant Boro, NJ

NPI 1295911972 · NPPES record last updated May 15, 2024

Key facts

NPI
1295911972
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA01365200 (NJ)
Practice address
3222 Bridge Ave
Point Pleasant Boro, NJ 08742-3459
Phone
(732) 592-9122
NPI assigned
Jan 13, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Horton PT LLC (5 clinicians)

Practice addresses (Care Compare)

149 Ave at the CMN
Suite 2
Shrewsbury, NJ 07702-4583
Phone (732) 592-9122

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240620000761 NJ Practitioner - Physical Therapist in Private Practice 6709329691 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
40QA01365200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Horton PT LLC Physical Therapist Current
since Mar 16, 2024
Accepting new patients

Locations

3222 Bridge Ave
Point Pleasant Boro, NJ 08742
Phone (732) 444-8631

149 Avenue At the Cmn
Ste 2
Shrewsbury, NJ 07702
Phone (732) 592-9122

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01365200 NJ Yes

Addresses

Primary practice location

3222 Bridge Ave
Point Pleasant Boro, NJ 08742-3459

Mailing address

3222 Bridge Ave
Point Pleasant Boro, NJ 08742-3459
Phone (732) 592-9122

Other providers in Point Pleasant Boro, NJ

All providers in Point Pleasant Boro, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.