National Provider Identifier

Jordan Stephen Gaydos, PT, DPT

Jordan Stephen Gaydos, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Lancaster, NY and a listed phone number of (716) 545-0303.

NPI 1003783796Lancaster, NYPhysical Therapist

Profile Overview

NPI
1003783796
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
October 20, 2025
Last Updated
October 20, 2025

Practice Location

  • 1818 Como Park Blvd
  • Lancaster, NY 14086-2824

Phone: (716) 545-0303

Mailing Address

  • 7248 Ashley Ln
  • North Tonawanda, NY 14120-3604

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1003783796
Entity Type
Individual
Last Name
Gaydos
First Name
Jordan
Middle Name
Stephen
Credential
PT, DPT
Mailing Street Address
7248 Ashley Ln
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-3604
Mailing Country
US
Mailing Phone
(716) 545-0303
Practice Street Address
1818 Como Park Blvd
Practice City
Lancaster
Practice State
NY
Practice ZIP Code
14086-2824
Practice Country
US
Practice Phone
(716) 545-0303
Enumeration Date
October 20, 2025
Last Updated
October 20, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
October 19, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)