Active NPIIndividual provider

Debra L Gordon, PT

Physical Therapist in Monroe, New York

NPI Number1548033566
Practice location
745 State Route 17M Ste 104, Monroe, NY 10950-2663
Fax
845-440-1311
Last updated
November 1, 2023

Debra Lynn Gordon is a Physical Therapist based in Monroe, NY. Debra Lynn Gordon practices in Monroe, NY and has the professional credentials of PT. The NPI Number for Debra Lynn Gordon is 1548033566 and holds a License No. 007033 (NY). The current practice location address for Debra Lynn Gordon is 745 State Route 17M Ste 104, Monroe, NY 10950-2663 and can be reached out via phone at 845-364-7312 and via fax at 845-440-1311.

Provider Profile Details

NPI Number
1548033566
Provider Name
Debra Lynn Gordon
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
745 State Route 17M Ste 104, Monroe, NY 10950-2663
Phone Number
845-364-7312
Fax Number
845-440-1311
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 1, 2023
Last Update Date
November 1, 2023
Certification Date
November 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
745 State Route 17M Ste 104
Monroe, NY 10950-2663
City
Monroe
Zip
10950-2663
Phone Number
845-364-7312
Fax Number
845-440-1311
Monroe, NY 10950Get directions →

Provider Business Mailing Address Details

Address
16 Maybrook RD Ste L
Campbell Hall, NY 10916-2741
City
Campbell Hall
State
NY
Zip
10916-2741
Phone Number
845-636-4344

License Information

License Number
007033
License State
NY
Taxonomy
Physical Therapist · 225100000X · Primary

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 Debra L Gordon, PT?

The NPI number of Debra L Gordon, PT is 1548033566. It was assigned on November 1, 2023 and is currently active in the NPPES registry.

What is the specialty of Debra L Gordon, PT?

Debra L Gordon, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 007033.

Where does Debra L Gordon, PT practice?

The practice location is 745 State Route 17M Ste 104, Monroe, NY 10950-2663. The office can be reached at 845-364-7312 (phone) or 845-440-1311 (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 1548033566 directly on the NPPES registry website.

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