Nancy Ann Gordon, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

907 Issued in SC

Practice address

701 Cashua Ferry Road
McLeod Medical Center Darlington
Darlington, SC 29532-8488

Phone

(843) 777-1134

Fax

(843) 777-4247

NPI assigned

Jun 24, 2010

Last updated

Jun 24, 2010By 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

State licenses

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1487965596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CASHUA FERRY ROAD",
            "address_2": "MCLEOD MEDICAL CENTER DARLINGTON",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295328488",
            "telephone_number": "843-777-1134",
            "fax_number": "843-777-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CASHUA FERRY ROAD",
            "address_2": "MCLEOD MEDICAL CENTER DARLINGTON",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295328488",
            "telephone_number": "843-777-1134",
            "fax_number": "843-777-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Healthcare, Inc. (Genesis Healthcare Darlington)
• Genesis Healthcare, Inc. (Pee Dee Health Care)
• Gentle Care Adult Day Health Services
• Melva Gibeau, NP AND CNS
• Cheryl Lynn Gillispie
• Amy Elizabeth Grant, COTA/L
• Kathleen Gray
• Cathy M Gregory, APRN
• James Ralph Harris
• Harrison ENT Inc (The Medicine Shoppe)

• Physical Therapy Assistant in Darlington, SC
• Providers in Darlington, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.