Edmond Gordon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60656836 Issued in WA

Practice address

15730 116TH Ave NE Unit 112B
Bothell, WA 98011-4184

Phone

(310) 339-7194

Fax

(844) 987-0144

NPI assigned

Aug 11, 2015

Last updated

Sep 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innova Physical Therapy LLCGroup PAC ID 5092935551, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Innova Physical Therapy LLC

  • Physical Therapist
  • Redmond, WA
  • NPI 1497154504
  Medicare reassignment Care Compare group
• Highline Physical Therapy Group

  dba Highline Therapy Services

  • Physical Therapist
  • Burien, WA
  • NPI 1477797991
  Medicare reassignment NPD
• Pacmed Clinics

  dba Pacific Medical Centers

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1013061217
  Medicare reassignment NPD
• Traction Physical Therapy

  • Physical Therapist
  • Bothell, WA
  • NPI 1497681324
  NPD Authorized official
• Highline Physical Therapy Group

  • Physical Therapist
  • Bonney Lake, WA
  • NPI 1255147336
  NPD
• Pacmed Clinics

  • Multi-Specialty Clinic/Center
  • Lynnwood, WA
  • NPI 1477594356
  NPD
• Pacmed Clinics

  • Multi-Specialty Clinic/Center
  • Renton, WA
  • NPI 1720023641
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1902282122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15730 116TH AVE NE UNIT 112B",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980114184",
            "telephone_number": "310-339-7194",
            "fax_number": "844-987-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15730 116TH AVE NE UNIT 112B",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980114184",
            "telephone_number": "310-339-7194",
            "fax_number": "844-987-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "EDMOND",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60656836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Jorge Gonzales, PT
• Sherri Jo Gooch, PHARMACY TECHNICIAN
• Christopher Robin Goodman, OT
• Erian Goodson, LMT
• Abby Ilyce Gordon, D.P.T., EMT
• Ronit Gourarie, RN
• Wenona Grados
• Donald Graff, PTA
• Katherine Graff, RN
• Bridgette Graham

• Physical Therapist in Bothell, WA
• Providers in Bothell, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.