Andrew Gordon, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305202942 Issued in VA

Practice address

6035 Burke Centre Pkwy
300
Burke, VA 22015-3750

Phone

(703) 978-3300

Fax

(703) 978-6216

NPI assigned

Aug 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in VA

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid-County Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Woodbridge, VA
  • NPI 1306070164

  Physical Therapist

  Medicare reassignment NPD
• Advanced Kinetics Physical Therapy

  • Physical Therapy Clinic/Center
  • Falls Church, VA
  • NPI 1346631116
  NPD (past)
• Alexandria Sports, Inc.

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Burke, VA
  • NPI 1285659789
  NPD (past)
• Alexandria Sports, Inc.

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Fairfax Station, VA
  • NPI 1659967768
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609981794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11409 ABNER AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 BURKE CENTRE PKWY",
            "address_2": "300",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153750",
            "telephone_number": "703-978-3300",
            "fax_number": "703-978-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ANDREW",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilmour Group LLC
• Morgan Glaze, DMD
• Golden Dental Associates, P.C. (Embrace Family Smiles Of Burke)
• Bonnie Golden, LCSW
• Kamalinder Kaur Goraya, MD
• Stacie M Gould, PT
• Leah Ariana Grande, PHD
• Stuart Lee Graves, DDS
• Judith Lynn Gray, MSN
• Alexander J Green, D.C

• Physical Therapist in Burke, VA
• Providers in Burke, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.