Individual provider Active NPI

Beverly Joyce Gordon, PHYSICAL THERAPIST

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1730351719
Registry record updated Mar 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
482 Issued in DC
Practice address
5007 13TH St NW
Washington, DC 20011-6909
Phone
(202) 723-2819
Fax
(202) 722-2447
NPI assigned
Mar 30, 2008
Last updated
Mar 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2008

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 482 DC Primary

Addresses

Primary practice location

5007 13TH St NW
Washington, DC 20011-6909

Mailing address

5007 13TH St NW
Washington, DC 20011-6909
Phone (202) 723-2819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120417000685 DC Practitioner - Physical Therapist in Private Practice 9032370135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rachel E. Miller, IncGroup PAC ID 1951308501, 11 clinicians

Practice addresses (Care Compare)

11820 Parklawn Dr
Suite 140
Rockville, MD 20852-2529
Phone (301) 881-2273

6125 Montrose Rd
Rockville, MD 20852-4860
Phone (301) 881-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206835200000",
    "number": "1730351719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116909",
            "telephone_number": "202-723-2819",
            "fax_number": "202-722-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116909",
            "telephone_number": "202-723-2819",
            "fax_number": "202-722-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "BEVERLY",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-30",
        "last_updated": "2008-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2008; 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.