Eric Myles Gordon, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

24 Airport Road
Edgartown, MA 02539

Phone

(410) 977-9416

NPI assigned

Jul 1, 2005

Last updated

Feb 27, 2014By the provider in NPPES

Sex

Male

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

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clifton Max

  dba Performance Physical Therapy

  • Physical Therapist
  • Reisterstown, MD
  • NPI 1366808990
  Authorized official Same address or phone
• The Gordon Institute for Human Performance LLC

  • Specialist
  • Pikesville, MD
  • NPI 1659519122
  Authorized official Same address or phone
• Mady and Mules, PA

  • Physical Medicine & Rehabilitation Physician
  • Lutherville, MD
  • NPI 1134126642
  NPD (past)
• Mady and Mules, PA

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
  • NPI 1265096382
  NPD (past)
• Shari Kaplan PT

  • Physical Therapist
  • Pikesville, MD
  • NPI 1417679853

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1457358772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "025390994",
            "telephone_number": "410-977-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 AIRPORT ROAD",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "02539",
            "telephone_number": "410-977-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ERIC",
        "middle_name": "MYLES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgartown Dental Group LLC
• Rhonda L Fauteux, A.B.O.C.
• Molly Bonner Flam
• Francine Agnoli (Silver Rose Designs)
• Carol Lynn Goldstein, MD
• Kristen Grella
• Victoria Haeselbarth
• David A Halsey, MD
• Sang Woo Han
• Glenn R Harris, DMD

• Orthopedic Physical Therapist in Edgartown, MA
• Providers in Edgartown, MA by specialty
• Orthopedic Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.