Emily Dolan Gordon, LMT, NCTMB, CR

Primary specialty

SpecialistTaxonomy code 174400000X

License

M03915 Issued in MD

Practice address

120 W Church St
Frederick, MD 21701-7800

Phone

(240) 575-0454

NPI assigned

Mar 4, 2007

Last updated

Dec 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1699804096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W CHURCH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017800",
            "telephone_number": "240-575-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W CHURCH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017800",
            "telephone_number": "240-575-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "EMILY",
        "middle_name": "DOLAN",
        "name_prefix": "Mrs.",
        "credential": "LMT, NCTMB, CR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "323967-00",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "M03915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Sonnleitner Goode
• Amanda Goodell
• Danielle Goodman, MPT
• Rachel Goodrich
• Matthew Goodwin
• Jennifer Gordon
• Johanna Everett Gordon, M.S. CCC-SLP
• Louis Ira Gordon, O.D.
• Ruth A Gordon
• Susan Elizabeth Gordon, LCADC-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.