Active NPI
Rashad Jabril Gordon, OTA
- Occupational Therapy Assistant
- Nashville, TN
National Provider Identifier
1346074648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 4046
- Practice address
- 4721 Trousdale Dr Ste 206
Nashville, TN 37220-1372 - Phone
- (615) 832-8955
- NPI assigned
- Aug 28, 2024
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 4046 | TN | Primary |
Addresses
Primary practice location
4721 Trousdale Dr Ste 206
Nashville, TN 37220-1372
Mailing address
209 Seneca Forest CT
Nashville, TN 37217-4535
Phone (615) 753-0094
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4046 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1346074648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 SENECA FOREST CT",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372174535",
"telephone_number": "615-753-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4721 TROUSDALE DR STE 206",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372201372",
"telephone_number": "615-832-8955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "RASHAD",
"middle_name": "JABRIL",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-28",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TN",
"license": "4046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.