Active NPIIndividual providerSole proprietor

Ms. Phyllis L Gordon, MSOTR

Occupational Therapist, Physical Rehabilitation in Tenafly, New Jersey

NPI Number1285876128
Practice location
10 Byrne Ln, Tenafly, NJ 07670-2707
Fax
201-227-9267
Last updated
August 19, 2010

Phyllis Lynn Gordon is an Occupational Therapist, Physical Rehabilitation based in Tenafly, NJ. Phyllis Lynn Gordon practices in Tenafly, NJ and has the professional credentials of MSOTR. The NPI Number for Phyllis Lynn Gordon is 1285876128 and holds a License No. TR00810 (NJ). The current practice location address for Phyllis Lynn Gordon is 10 Byrne Ln, Tenafly, NJ 07670-2707 and can be reached out via phone at 201-569-6288 and via fax at 201-227-9267.

Provider Profile Details

NPI Number
1285876128
Provider Name
Phyllis Lynn Gordon
Credential
MSOTR
Provider Entity Type
Individual
Gender
Female
Address
10 Byrne Ln, Tenafly, NJ 07670-2707
Phone Number
201-569-6288
Fax Number
201-227-9267
Sole Proprietor
Yes
Provider Enumeration Date
March 24, 2009
Last Update Date
August 19, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Byrne Ln
Tenafly, NJ 07670-2707
Zip
07670-2707
Phone Number
201-569-6288
Fax Number
201-227-9267
Tenafly, NJ 07670Get directions →

Provider Business Mailing Address Details

Address
10 Byrne Ln
Tenafly, NJ 07670-2707
City
Tenafly
State
NJ
Zip
07670-2707
Phone Number
201-569-6288
Fax Number
201-227-9267

License Information

License Number (1)
TR00810
License State (1)
NJ
Taxonomy (1)
Occupational Therapist, Mental Health · 225XM0800X
License Number (2)
TR00810
License State (2)
NJ
License Number (3)
TR00810
License State (3)
NJ
Taxonomy (3)
Occupational Therapist, Physical Rehabilitation · 225XP0019X · Primary
License Number (4)
TR00810
License State (4)
NJ
Taxonomy (4)
Occupational Therapist, Pediatrics · 225XP0200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Phyllis L Gordon, MSOTR?

The NPI number of Ms. Phyllis L Gordon, MSOTR is 1285876128. It was assigned on March 24, 2009 and is currently active in the NPPES registry.

What is the specialty of Ms. Phyllis L Gordon, MSOTR?

Ms. Phyllis L Gordon, MSOTR is registered under the primary taxonomy Occupational Therapist, Physical Rehabilitation (code 225XP0019X), licensed in NJ under license number TR00810.

Where does Ms. Phyllis L Gordon, MSOTR practice?

The practice location is 10 Byrne Ln, Tenafly, NJ 07670-2707. The office can be reached at 201-569-6288 (phone) or 201-227-9267 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285876128 directly on the NPPES registry website.

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