Steven Gordon

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3443 Issued in NH

Practice address

143 Raymond Rd Unit 8
Coppola Physical Therapy and Fitness Gym
Candia, NH 03034-2133

Phone

(603) 483-3355

Fax

(603) 483-3357

NPI assigned

Nov 2, 2006

Last updated

Jun 4, 2009By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Coppola Physical Therapy and Fitness Gym LLCGroup PAC ID 0345393302, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Coppola Physical Therapy and Fitness Gym LLC

  • Physical Therapy Clinic/Center
  • Candia, NH
  • NPI 1346481561

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Coppola Physical Therapy Farmington LLC

  • Physical Therapist
  • Farmington, NH
  • NPI 1508142159
  Medicare reassignment NPD
• Farmington Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Farmington, NH
  • NPI 1407672827

  Physical Therapist

  NPD

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1932287398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BODWELL RD",
            "address_2": "APT 23",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031095814",
            "telephone_number": "603-315-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 RAYMOND RD UNIT 8",
            "address_2": "COPPOLA PHYSICAL THERAPY AND FITNESS GYM",
            "city": "CANDIA",
            "state": "NH",
            "postal_code": "030342133",
            "telephone_number": "603-483-3355",
            "fax_number": "603-483-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "0740",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Ross, Edm, Lcmhc, LLC
• Christopher Francis, DPT
• Devin Maye Funk, DPT
• Samantha M Futch, DPT
• Irene Gordon, PT,DPT
• Jaila Rose Hedstrom
• Casey L Hill
• Hillside Family Dental Care
• Honored Time Psychiatry PLLC
• Cheryl Jacob

• Physical Therapist in Candia, NH
• Providers in Candia, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.