Kristen Rachelle Gordon, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

292467 Issued in CA

Practice address

16030 Ventura Blvd Ste 450
Encino, CA 91436-2764

Phone

(818) 986-1977

NPI assigned

Apr 29, 2025

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1639766603

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1487442372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 OAK VALLEY PKWY",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922231455",
            "telephone_number": "951-203-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 VENTURA BLVD STE 450",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362764",
            "telephone_number": "818-986-1977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Oak Valley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "CA",
            "postal_code": "922231455",
            "country_code": "US",
            "telephone_number": "951-203-5923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "KRISTEN",
        "middle_name": "RACHELLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Martin Goodman, PHD
• Stanley Louis Goodman
• Nicole Goodrum
• Gordon & Silvers Ods
• Brian Gordon, DC, LAC
• Mark Lorry Gordon, M.D.
• Gabriel Goren, MD
• Stephen Irwin Gorlick, D.D.S.
• Martin Neil Gorman, D.D.S.
• Jeffrey D Goss, D.P.M.

• Physical Therapist in Encino, CA
• Providers in Encino, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.