ERIC MYLES GORDON (NPI# 1457358772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457358772 |
| Entity Type | Individual |
| Full Name | ERIC MYLES GORDON |
| Credential | PT |
| Practice Address |
24 Airport Road Edgartown MA 02539 |
| Mailing Address |
Po Box 994 Edgartown MA 02539-0994 |
| Practice Telephone | 4109779416 |
| Mailing Telephone | 4109779416 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2014-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316176209 | Eric L. Gordon | Speech-Language Pathologist | 4604 Lake Forest Dr, Charlestown, IN 47111-9033 | 2009-07-13 |
| 1194903500 | Eric R Gordon | Specialist | 8791 Wolff Ct, Suite 210, Westminster, CO 80031-3600 | 2008-02-07 |
| 1912102682 | Eric Gordon | Physical Therapist | 1028 Grove Park Cir, Boynton Beach, FL 33436-9436 | 2007-06-20 |
| 1164636528 | Eric Lawrence Gordon | Dentist | 7441 W Ridgewood Dr, Suite 275, Parma, OH 44129 | 2007-05-09 |
| 1659583458 | Eric M Gordon | Dentist | 225 State Route 35 Ste 106, Red Bank, NJ 07701-5919 | 2007-05-04 |
| 1881049898 | Eric A Gordon | Physician Assistant | 6451 Brentwood Stair Rd, Fort Worth, TX 76112-3200 | 2016-04-27 |
| 1598102253 | Eric Gordon | Orthopaedic Surgery | 1500 Oglethorpe Ave Ste 500b, Athens, GA 30606-2184 | 2013-06-03 |
| 1134379092 | Eric Richard Gordon | Registered Nurse | 529 I Street, Eureka, CA 95501-1116 | 2008-09-26 |
| 1336312727 | Eric Michael Gordon | Orthopaedic Surgery | 8100 Wescott Dr, Suite 101, Flemington, NJ 08822-4671 | 2008-04-08 |
| 1982739595 | Eric Scott Gordon | Optometrist | 1569 Us Highway 19 S, Leesburg, GA 31763-4939 | 2007-02-22 |
| Street Address |
24 AIRPORT ROAD |
| City | EDGARTOWN |
| State | MA |
| Zip Code | 02539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024143 | Elizabeth Ann Zeller | Occupational Therapist | 40 20th St N, Edgartown, MA 02539 | 2020-02-05 |
| 1932684008 | Amid The Waters Chiropractic | Chiropractor | 12 Mariners Way, Edgartown, MA 02539 | 2018-09-25 |
| 1538640453 | Roberta Raimon | Social Worker | 27 Mullen Way, Edgartown, MA 02539 | 2018-08-28 |
| 1881195683 | Nancy Rose Steinbock | Speech-Language Pathologist | 55 Pilgrim Road, Edgartown, MA 02539 | 2018-02-27 |
| 1457870503 | Abigail Alexa Smith | Specialist/Technologist | 60 Schoolhouse Road, Edgartown, MA 02539 | 2017-09-10 |
| 1033518618 | Prudence Levy | Dietitian, Registered | 140 Cooke Street, Edgartown, MA 02539 | 2014-08-19 |
| 1972916443 | Victoria Haeselbarth | Specialist | 10 Bennett Way, Edgartown, MA 02539 | 2014-06-03 |
| 1699009787 | Jacqueline Mary Miller | Nurse Practitioner | 245 Edgartown- Vineyard Haven Road, Island Health Care, Edgartown, MA 02539 | 2009-09-23 |
| 1316077464 | Island Health Inc. | Clinic/Center | 245 Vineyard Haven-edgartown Road, Edgartown, MA 02539 | 2007-03-07 |
| 1679625255 | Brian Stuart Cullen | Dentist | 258 Edgartown Rd., Unit 2, Edgartown, MA 02539 | 2007-01-17 |
| Find all providers in zip 02539 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213409 | Kathryn A Piersiak | Physical Therapist | 5 N Meadows Rd Ste 6, Medfield, MA 02052-2317 | 2020-10-19 |
| 1134758287 | Joshua Westin Leigh | Physical Therapist | 4 Spring Ln, Rockport, MA 01966-2111 | 2020-04-01 |
| 1366078479 | Lisa Marie Giallonardo | Physical Therapist | 4 Wethersfield Rd # 8, Natick, MA 01760-1770 | 2020-03-20 |
| 1487291928 | Michael Micco | Physical Therapist | 70 Day St Apt 2, Boston, MA 02130-1191 | 2019-12-03 |
| 1205341245 | Infinite Potential Physical Therapy and Wellness | Physical Therapist | 242 Libbey Industrial Pkwy, Weymouth, MA 02189-3109 | 2017-12-13 |
| 1598278962 | Michael White | Physical Therapist | 406r Washington St, Holliston, MA 01746-1342 | 2017-11-08 |
| 1386154482 | Robert Pano | Physical Therapist | 45 Putnam Hill Rd, Sutton, MA 01590-1722 | 2017-10-03 |
| 1366960981 | Michael Crowley | Physical Therapist | 21 North Main Street, Attleboro, MA 02703 | 2017-09-04 |
| 1942659198 | Sports Medicine North | Physical Therapist | 2 First Ave Suite 211, Peabody, MA 01960-4959 | 2016-06-08 |
| 1376991505 | Sports Medicine North Orthopaedic Surgery, Inc | Physical Therapist | 112 Parker St, Newburyport, MA 01950-4008 | 2016-05-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.