Irene Gordon, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3839 Issued in NH

Practice address

143 Raymond Rd
Candia, NH 03034-2133

Phone

(603) 483-3355

NPI assigned

Sep 24, 2013

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 NH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Coppola Physical Therapy and Fitness Gym LLC 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Coppola Physical Therapy and Fitness Gym LLC

  • Physical Therapy Clinic/Center
  • Candia, NH
  • NPI 1346481561

  NH, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Coppola Physical Therapy Farmington LLC

  • Physical Therapist
  • Farmington, NH
  • NPI 1508142159

  NH, Physical Therapist

  Medicare reassignment NPD
• Farmington Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Farmington, NH
  • NPI 1407672827

  Physical Therapist

  NPD
• Coppola Physical Therapy Ferry

  • Physical Therapist
  • Concord, NH
  • NPI 1982988192
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1588090435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 RAYMOND RD",
            "city": "CANDIA",
            "state": "NH",
            "postal_code": "030342133",
            "telephone_number": "603-483-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 RAYMOND RD",
            "city": "CANDIA",
            "state": "NH",
            "postal_code": "030342133",
            "telephone_number": "603-483-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "IRENE",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantelle B Cyr, PT, DPT
• Eileen Ross, Edm, Lcmhc, LLC
• Christopher Francis, DPT
• Devin Maye Funk, DPT
• Samantha M Futch, DPT
• Steven Gordon
• Jaila Rose Hedstrom
• Casey L Hill
• Hillside Family Dental Care
• Honored Time Psychiatry PLLC

• All providers in Candia, NH
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.