Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW GORDON
ActiveMATTHEW GORDON is a Physical Therapy Assistant healthcare provider located in CHAMPAIGN, Illinois. NPI 1710396494 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1710396494
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2014 (12.01980036284 yrs)
- Last Updated
- Oct 17, 2024
- Licenses
-
05015791A (IN)070020762 (IL)
Practice Information
- Address
-
2906 CROSSING CTCHAMPAIGN, IL, 618226163Browse IL providers · Browse ZIP 61822
- Phone
- 2173989800
- Fax
- 2173660037
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. ANGELA J CUSICK | P.T. | 1003889239 |
| MR. ERIC P WOODARD | DPT | 1285671917 |
| MR. JERRY L. HESELTON | P.T. | 1356357800 |
| MS. KRISTI L. GRESCH | P.T. | 1144236720 |
| MR. JOHN T. COTTINGHAM | P.T. | 1235146564 |
| MR. KENT A. RICHMOND | P.T. | 1962410282 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.