Individual provider Active NPI

Pamela Gordon, PT

  • Physical Therapist
  • Okemos, MI
National Provider Identifier
1497823496
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501002534 Issued in MI
Practice address
3536 Meridian Crossings
Ste 240
Okemos, MI 48864-4584
Phone
(517) 347-2495
Fax
(517) 347-3540
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501002534 MI Primary

Addresses

Primary practice location

3536 Meridian Crossings
Ste 240
Okemos, MI 48864-4584

Mailing address

3536 Meridian Crossings
Ste 240
Okemos, MI 48864-4584
Phone (517) 347-2495

Other identifiers 1

IdentifierTypeStateIssuer
650C31919OtherMIBCBSM BCN

Other names 1

  • Pamela M Toop Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501002534MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Physical Rehabilitation and Therapy LP Physical Therapist CurrentSince Dec 6, 2021 Accepting new patients
Physical Therapy Connection LLC Physical Therapist Past Accepting new patients
Orthopaedic Rehab Specialists, PC Physical Therapist PastSince Aug 5, 2007 Accepting new patients

Locations

3536 Meridian Crossings
Ste 240
Okemos, MI 48864
Phone (517) 347-2495

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1497823496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MERIDIAN CROSSINGS",
            "address_2": "STE 240",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644584",
            "telephone_number": "517-347-2495",
            "fax_number": "517-347-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MERIDIAN CROSSINGS",
            "address_2": "STE 240",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644584",
            "telephone_number": "517-347-2495",
            "fax_number": "517-347-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "PAMELA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM BCN",
            "identifier": "650C31919",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "TOOP",
            "middle_name": "M",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.