Active NPI
Robert H. Gordon, M.S., P.T., M.ED.
- Physical Therapist
- Newton Highlands, MA
National Provider Identifier
1871641803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8262
- Practice address
- 4 Hartford St
204-A
Newton Highlands, MA 02461-1553 - Phone
- (617) 823-8978
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 8262 | MA | Primary |
Addresses
Primary practice location
4 Hartford St
204-A
Newton Highlands, MA 02461-1553
Mailing address
1731 Beacon St
Brookline, MA 02445-5350
Phone (617) 739-4446
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
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8262 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871641803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1731 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024455350",
"telephone_number": "617-739-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 HARTFORD ST",
"address_2": "204-A",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "024611553",
"telephone_number": "617-823-8978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "ROBERT",
"middle_name": "H.",
"name_prefix": "Mr.",
"credential": "M.S., P.T., M.ED.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "8262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton Highlands, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.