Jordan Lee Gordon

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2636-19 Issued in WI

Practice address

101 Sunshine Blvd
Soldiers Grove, WI 54655-7106

Phone

(608) 624-5244

NPI assigned

Aug 24, 2026

Last updated

Aug 24, 2026By the provider in NPPES

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1427964956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50295 NORWEGIAN HOLLOW RD",
            "city": "SOLDIERS GROVE",
            "state": "WI",
            "postal_code": "546557518",
            "telephone_number": "502-797-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SUNSHINE BLVD",
            "city": "SOLDIERS GROVE",
            "state": "WI",
            "postal_code": "546557106",
            "telephone_number": "608-624-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JORDAN",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2636-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J Devitt, M.D.
• Stacey Drew-Regan, DPT
• Tracy L Eick, PTA
• Equimotion, Inc
• Rita Ann Fortney, RDH, RN
• Shari M Graham Curry, COTA
• Ashley Lynne Hagen, MS, ATC, LAT
• Sue Ellen Johnson
• Katrina M. Johnson, LLC
• Beth S Laxton, PT

• Physical Therapy Assistant in Soldiers Grove, WI
• Providers in Soldiers Grove, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.