| Gordon Physical Therapy Llc | |
|
70 Main St Ste 201, North Andover, MA 01845-2427 | |
| (978) 315-2500 | |
| (978) 315-2501 |
| Full Name | Gordon Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 70 Main St Ste 201, North Andover, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093235616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 15496 (Massachusetts) | Primary |
| Provider Name | Meredith Izzicupo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457786204 PECOS PAC ID: 2668752619 Enrollment ID: I20161208000620 |
| Provider Name | William F Gordon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326482704 PECOS PAC ID: 8729348883 Enrollment ID: I20180209000838 |
| Provider Name | Kara Mccormick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104474543 PECOS PAC ID: 0941623730 Enrollment ID: I20200713002003 |
| Provider Name | Jacqueline T Oram |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700492386 PECOS PAC ID: 9335559079 Enrollment ID: I20201107000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Physical Therapy Llc 70 Main St Ste 201, North Andover, MA 01845-2427 Ph: (978) 315-2500 | Gordon Physical Therapy Llc 70 Main St Ste 201, North Andover, MA 01845-2427 Ph: (978) 315-2500 |
Corey Tulley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Prescott St, North Andover, MA 01845 Phone: 978-685-8086 | |
Michael Malark, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 575 Turnpike St, North Andover, MA 01845 Phone: 978-686-9688 | |
Susan Marquardt, Physical Therapist Medicare: Medicare Enrolled Practice Location: 336 Boston St, North Andover, MA 01845 Phone: 978-684-2106 Fax: 413-206-7043 | |
Justin Montgomery, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Andover St Ste 102, North Andover, MA 01845 Phone: 978-686-0004 | |
Leah Hughes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Prescott St, North Andover, MA 01845 Phone: 978-685-8086 | |
Patricia Ghikas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 186 Bradford St, North Andover, MA 01845 Phone: 978-886-6037 |