Active NPI
John Gordon, PT
- Physical Therapist
- Clinton, SC
National Provider Identifier
1760906895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8716
- Practice address
- 105 Physicians Park Dr
Clinton, SC 29325-7551 - Phone
- (864) 938-0111
- Fax
- (864) 938-0811
- NPI assigned
- Jul 31, 2017
- Last updated
- Jul 31, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8716 | SC | Primary |
Addresses
Primary practice location
105 Physicians Park Dr
Clinton, SC 29325-7551
Mailing address
PO Box 3408
Irmo, SC 29063-4015
Phone (803) 732-5887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501459200000",
"number": "1760906895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3408",
"city": "IRMO",
"state": "SC",
"postal_code": "290634015",
"telephone_number": "803-732-5887",
"fax_number": "803-732-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PHYSICIANS PARK DR",
"city": "CLINTON",
"state": "SC",
"postal_code": "293257551",
"telephone_number": "864-938-0111",
"fax_number": "864-938-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "JOHN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-31",
"last_updated": "2017-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, SC
- Jessica Alimarie Glenn, PHYSICAL THERAPY ASS
- Wendell D Glenn, MSW
- Will Godfrey, PA-C
- Georges P. Godfrin, NP
- Colleen Diane Goff, LPC
- John R Graham, MD1
- Karen Green
- Greenville Health System (GHS Emergency Services of Laurens County)
- Greenville Health System (GHS Laurens County Memorial Hospital)
- Greenville Health System (GHS Laurens County Anesthesia)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.