TRACEY GORDON


Address: 2827 Northgate Boulevard, Fort Wayne, IN 46835
Phone: 2604921498

TRACEY GORDON (NPI# 1801144464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801144464
Entity Type Individual
Full Name TRACEY GORDON
Practice Address 2827 Northgate Boulevard
Fort Wayne
IN 46835
Practice Telephone 2604921498
Practice Fax Number 2604921614
Enumeration Date 2012-08-29
Last Update Date 2012-08-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225200000X Physical Therapy Assistant 06004303A IN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 1555656 05

Other Providers TRACEY GORDON

NPI Name Taxonomy Address Enumeration
1821192493 Tracey Jane Gordon Pharmacist 5599 N Dixie Hwy, Oakland Park, FL 33334-3406 2006-09-12

Office Location

Street Address 2827 NORTHGATE BOULEVARD
City FORT WAYNE
State IN
Zip Code 46835

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760993810 Longe Enterprises Corp Eyewear Supplier (Equipment, not the service) 5711 Ymca Park Dr East, Fort Wayne, IN 46835 2017-10-17
1316179682 Janet L Daniel Counselor 310 E Dupont Road, Suite 2, Fort Wayne, IN 46835 2009-08-20
1083868863 Nicholas Joseph Sullivan Chiropractor 8320 Chapel Bend Drive, Fort Wayne, IN 46835 2008-11-06
1497922090 Michelle A Bailey Registered Nurse 6108 Maplecrest Road, Fort Wayne, IN 46835 2008-05-13
1073789954 Charles Arthur Bolinger Technician, Other 4546 Maplecrest Rd, Ft Wayne, IN 46835 2008-05-01
1851469878 Richard J Klaehn Optometrist 4536 Maplecrest Road, Ft. Wayne, IN 46835 2006-11-30
1639272339 Hook Superx LLC Durable Medical Equipment & Medical Supplies 6220 St Joseph Center Rd, Fort Wayne, IN 46835 2006-09-07
1275649014 Adrienne Meyer Pharmacist 7909 Brixham Place, Fort Wayne, IN 46835 2006-08-22
1750378147 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 4430 Elsdale Dr, Fort Wayne, IN 46835 2005-09-30
1881940617 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 2827 Northgate Blvd, Fort Wayne, IN 46835 2012-07-30
Find all providers in zip 46835

Taxonomy Information

Taxonomy Code 225200000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapy Assistant

Taxonomy Definition

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811525934 Alexander Milentis Physical Therapy Assistant 7125 Hanna St, Fort Wayne, IN 46816-1166 2020-04-01
1639613250 Michelle Kern Physical Therapy Assistant 7012 Morningknoll Dr, Fort Wayne, IN 46815-7751 2016-12-16
1023560638 Jason Alan Maxwell Physical Therapy Assistant 7525 Maplecrest Rd # 112, Fort Wayne, IN 46835-1897 2016-10-30
1427427210 Kendra Rice Physical Therapy Assistant 1922 Connaught Ct, Fort Wayne, IN 46815-8170 2015-09-22
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1003225392 Craig Diss Physical Therapy Assistant 2625 Creeping Phlox Cv, Fort Wayne, IN 46818-8942 2014-08-12
1962823138 Chad Distelrath Physical Therapy Assistant 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 2013-12-13
1205260312 Selina Long Physical Therapy Assistant 5152 Truemper Way, Apt 5, Fort Wayne, IN 46835-3268 2013-08-26
1003168436 Molly Wietfeldt Physical Therapy Assistant 4111 Park Place Dr, Fort Wayne, IN 46845-6002 2012-10-09
1972897049 Rebecca Marie Graham Physical Therapy Assistant 1126 Dodge Ave, Fort Wayne, IN 46805-3530 2011-06-06
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46835

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Dataset Information

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.

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