Andrea Marjean Gordon, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

6725 Issued in AL

Practice address

1820 Glynwood Dr Ste D
Prattville, AL 36066-5533

Phone

(334) 235-1134

NPI assigned

Aug 26, 2025

Last updated

Aug 26, 2025By 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": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1740168897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 MINNEAPOLIS ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833136",
            "telephone_number": "334-235-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 GLYNWOOD DR STE D",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665533",
            "telephone_number": "334-235-1134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1704 Minneapolis St",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497833136",
            "country_code": "US",
            "telephone_number": "334-235-1134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ANDREA",
        "middle_name": "MARJEAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501001907",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AL",
            "license": "6725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destini Gibson, RBT
• Bianca Gildersleeve, RN
• Glynwood Park Dental Care
• Samantha Jean Gonzalez, M.S., CCC-SLP
• Jaylen T'Keyah Gorden
• Shalini Goswami, M.D.
• Grace Internal Medicine, LLC
• Haleigh Gray
• Edwin Price Grice III, PT, ATC
• Destiny Griffin

• Massage Therapist in Prattville, AL
• Providers in Prattville, AL by specialty
• Massage Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.