National Provider Identifier
Alex Gordon, PT, DPT
Alex Gordon, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Machias, NY and a listed phone number of (716) 353-8516.
Profile Overview
- NPI
- 1124632450
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 03, 2020
- Last Updated
- September 03, 2020
Practice Location
- The Pines 9822 Ny-16
- Machias, NY 14101
Phone: (716) 353-8516
Mailing Address
- 79 Kenview Ave
- Tonawanda, NY 14217-1417
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1124632450
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- Alex
- Name Prefix
- Dr.
- Credential
- PT, DPT
- Mailing Street Address
- 79 Kenview Ave
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1417
- Mailing Country
- US
- Mailing Phone
- (716) 698-7152
- Practice Street Address
- The Pines 9822 Ny-16
- Practice City
- Machias
- Practice State
- NY
- Practice ZIP Code
- 14101
- Practice Country
- US
- Practice Phone
- (716) 353-8516
- Enumeration Date
- September 03, 2020
- Last Updated
- September 03, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 31, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)