Individual provider Active NPI

Artemio Jr Gordonas, LPTA, AAS, MS, BS

  • Physical Therapy Assistant
  • Grand Rapids, MI
National Provider Identifier
1982373882
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502006530 Issued in MI
Practice address
2305 E Paris Ave SE Ste 202
Grand Rapids, MI 49546-2426
Phone
(616) 256-0671
NPI assigned
Sep 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X 5502006530 MI Primary

Addresses

Primary practice location

2305 E Paris Ave SE Ste 202
Grand Rapids, MI 49546-2426

Mailing address

2305 E Paris Ave SE Ste 202
Grand Rapids, MI 49546-2426
Phone (616) 256-0671

Other names 1

  • Artemio Jr Gordonas Professional name

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)
Not enrolled
Credentials
Associate of Applied Science, Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
5502006530MIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1982373882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 E PARIS AVE SE STE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462426",
            "telephone_number": "616-256-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 E PARIS AVE SE STE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462426",
            "telephone_number": "616-256-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDONAS",
        "first_name": "ARTEMIO JR",
        "credential": "LPTA,  AAS, MS, BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502006530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARTEMIO JR",
            "last_name": "GORDONAS",
            "credential": "LPTA,  AAS, MS, BS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.