Ashley Marie Gordon, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306603667 Issued in VA

Practice address

13800 Bon Secours Dr
Midlothian, VA 23114

Phone

(804) 378-5100

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1346866654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 WYNN LN APT 301",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231128294",
            "telephone_number": "804-248-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 BON SECOURS DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23114",
            "telephone_number": "804-378-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Jarrett Goodenberger, LMFT
• Marjorie Goodloe, RESIDENT IN COUNS
• Theresa Goodman, MA
• Sandra Goolsby, LCSW
• Lawrence William Gooss IV, D.O.
• Sarah Gordon
• Michael Scott Gore, DDS
• Emily Goryeb, NP
• Megan E Goss, OTRL
• Taylor Gotovac

• Physical Therapy Assistant in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.