Individual provider Active NPI

Peter Gordon, PT

  • Physical Therapist
  • Morgan Hill, CA
National Provider Identifier
1760274419
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308078 Issued in CA
Practice address
18625 Sutter Blvd Ste 500
Morgan Hill, CA 95037-2864
Phone
(669) 377-1133
NPI assigned
May 20, 2025
Last updated
May 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 308078 CA Primary

Addresses

Primary practice location

18625 Sutter Blvd Ste 500
Morgan Hill, CA 95037-2864

Mailing address

1787 Woodland Ave
East Palo Alto, CA 94303-2310
Phone (415) 909-8273

Other practice location 1

268 Redwood Shores Pkwy
Redwood City, CA 94065-1172
Phone (650) 591-9581

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627002889 CA Practitioner - Physical Therapist in Private Practice 3971016452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

268 Redwood Shores Pkwy
Redwood City, CA 94065-1172
Phone (650) 591-9581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308078CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Select Cal Physical Therapy PC CurrentSince May 19, 2025 Accepting new patients

Locations

18625 Sutter Blvd
Ste 500
Morgan Hill, CA 95037
Phone (669) 377-1133

268 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 591-9581

Organizations & group practices 3

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": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1760274419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 WOODLAND AVE",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943032310",
            "telephone_number": "415-909-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18625 SUTTER BLVD STE 500",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372864",
            "telephone_number": "669-377-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "268 Redwood Shores Pkwy",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940651172",
            "country_code": "US",
            "telephone_number": "650-591-9581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "PETER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.