Karen Lynn Gordes, DSCPT, PHD

Individual provider Active NPI Orthopedic Physical Therapist · Baltimore, MD

NPI 1801980404 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1801980404
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
19269 (MD)
Practice address
100 Penn St
Baltimore, MD 21201-1082
Phone
(410) 706-7720
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
19269MDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Esterson and Associates, P.C. Orthopedic Past Accepting new patients
Esterson Physical Therapy PA Past
since Aug 1, 2002
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 19269 MD Yes

Addresses

Primary practice location

100 Penn St
Baltimore, MD 21201-1082

Mailing address

100 Penn St
Baltimore, MD 21201-1082
Phone (410) 706-7720

Other practice location 1

2 West Rolling Crossroads
Baltimore, MD 21228
Phone (410) 747-1600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801980404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PENN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011082",
            "telephone_number": "410-706-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PENN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011082",
            "telephone_number": "410-706-7720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 West Rolling Crossroads",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21228",
            "country_code": "US",
            "telephone_number": "410-747-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDES",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "credential": "DSCPT, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "19269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

All providers in Baltimore, MD · Orthopedic Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.