Benjamin Lawrence Gordon, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501303983 Issued in MI

Practice address

33089 Groesbeck Hwy
Fraser, MI 48026-1501

Phone

(586) 296-2800

NPI assigned

May 13, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1932990686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46253 FREMONT LN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481876733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33089 GROESBECK HWY",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480261501",
            "telephone_number": "586-296-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "BENJAMIN",
        "middle_name": "LAWRENCE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander David Gentile
• Emily Gerebics, AT, ATC
• Maria Gerges
• Rebecca Lynn Gilman
• Giselle Marie Godin, LMT
• Zena Gorgeis, PHARMD
• Sana Adel Hanna, COTAL
• Christopher Charles Harris, MA, LPC
• Kendall Hassig
• Scott Thomas Haywood

• Physical Therapist in Fraser, MI
• Providers in Fraser, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.