Thomas Gordon

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

814 4TH Ave
Watervliet, NY 12189-3608

Phone

(518) 944-5772

NPI assigned

Oct 31, 2021

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

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

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1992460422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 4TH AVE",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121893608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 4TH AVE",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121893608",
            "telephone_number": "518-944-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Garrow, PHARMD
• Gattu N. Rao, P.C.
• Janice Marie Gauriloff
• Denise Marie Gifford, COTA
• Steven Nathan Goldstein, M.D.
• Hassani Hamilton, CFY-SLP
• Edie Harris, PCA/CHHA
• Annette Marie Hathaway
• Sara E Heidelmark
• Moira Hilt, PT

• Athletic Trainer in Watervliet, NY
• Providers in Watervliet, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; 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.