The Gordon Institute for Human Performance LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

17059 Issued in MD

Legal business name

THE GORDON INSTITUTE FOR HUMAN PERFORMANCE LLC

Practice address

3655A Old Court Rd
Ste 16
Pikesville, MD 21208-3959

Phone

(410) 977-9416

NPI assigned

Jan 21, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Eric Miles Gordon, PT

Title

Owner

Phone

(410) 977-9416

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelley Freedman, PT

  • Physical Therapist
  • Pikesville, MD
  • NPI 1992812408
  NPD (past)

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1659519122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655A OLD COURT RD",
            "address_2": "STE 16",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083959",
            "telephone_number": "410-977-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655A OLD COURT RD",
            "address_2": "STE 16",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083959",
            "telephone_number": "410-977-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GORDON INSTITUTE FOR HUMAN PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-977-9416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "17059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457358772",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul M Tetreault, RN
• Selena Tetteh, LCSW-C
• Alexus Thaniel
• Aviva Thav
• The Behavior Savior LLC
• The Monumental Group LLC
• The Pharmacia (The Pharmacia at Woodholme)
• The Therapy Spot
• Nicole M Thomas-Rice, NURSE PRACTITIONER
• Alize Tatyana Thomas

• Specialist in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.