Active NPI
Andrea Joyce Gorton, MPT
- Pediatric Physical Therapist
- Cathedral City, CA
National Provider Identifier
1831366988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT23619
- Practice address
- 27620 Landau Blvd
Suite 3
Cathedral City, CA 92234-5540 - Phone
- (760) 322-5090
- Fax
- (760) 322-9175
- NPI assigned
- May 8, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT23619 | CA | Primary |
Addresses
Primary practice location
27620 Landau Blvd
Suite 3
Cathedral City, CA 92234-5540
Mailing address
33908 Redhawk PL
Yucaipa, CA 92399-6971
Phone (909) 570-9429
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT23619 | CA | MD | Pediatric Physical Therapist |
| 23619 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bernadette Woods | Past | Accepting new patients |
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": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1831366988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33908 REDHAWK PL",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923996971",
"telephone_number": "909-570-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27620 LANDAU BLVD",
"address_2": "SUITE 3",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922345540",
"telephone_number": "760-322-5090",
"fax_number": "760-322-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORTON",
"first_name": "ANDREA",
"middle_name": "JOYCE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-08",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "PT23619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cathedral City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.