JACQUELINE GORDON (NPI# 1104241488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104241488 |
| Entity Type | Individual |
| Full Name | JACQUELINE GORDON |
| Credential | PTA |
| Practice Address |
6400 N Santa Fe Ave Ste B Oklahoma City OK 73116-9126 |
| Mailing Address |
1501 Redman Dr Newcastle OK 73065-5635 |
| Practice Telephone | 4058402903 |
| Practice Fax Number | 4058403256 |
| Mailing Telephone | 4053619609 |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 1057 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770949307 | Jacqueline Gordon | Counselor | 1402 Tevin Way, Madera, CA 93637-6508 | 2016-01-12 |
| 1295954972 | Jacqueline Carol Gordon | Marriage & Family Therapist | 43537 Ridge Park Dr, Temecula, CA 92590-3615 | 2007-04-24 |
| 1114923026 | Jacqueline Gordon | Psychologist | 1423 N Jefferson Ave Ste A-100, Springfield, MO 65802-1917 | 2005-06-24 |
| 1528551330 | Jacqueline Ann Gordon | Counselor | 7301 Poe Ave, Dayton, OH 45414-2559 | 2018-06-07 |
| 1457706285 | Jacqueline Gordon | Counselor | 9235 Lake Forest Blvd, Suite A, New Orleans, LA 70127-3043 | 2016-04-29 |
| 1760429401 | Jacqueline Gordon | Pharmacist | 17903 Linden Blvd, Jamaica, NY 11425-0001 | 2006-06-01 |
| Street Address |
6400 N SANTA FE AVE STE B |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-9126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043384670 | Kimberly Dawn Cryer | Physical Therapist | 6400 N Santa Fe Ave Ste B, Oklahoma City, OK 73116-9126 | 2006-11-17 |
| 1902403348 | Rachel Joiner | Physical Therapy Assistant | 6400 N Santa Fe Ave Ste B, Oklahoma City, OK 73116-9126 | 2020-10-08 |
| 1205468618 | Natalie Gisele Johnston | Occupational Therapy Assistant | 6400 N Santa Fe Ave Ste B, Oklahoma City, OK 73116-9126 | 2020-02-05 |
| 1821629866 | Megan Barnett | Occupational Therapy Assistant | 6400 N Santa Fe Ave Ste B, Oklahoma City, OK 73116-9126 | 2020-01-29 |
| 1013563485 | Kylee Michaela Johnston | Physical Therapy Assistant | 6400 N Santa Fe Ave Ste B, Oklahoma City, OK 73116-9126 | 2019-08-12 |
| 1225596539 | Trevor Neville | Physical Therapy Assistant | 6400 N Santa Fe Ave Ste B, Oklahoma City, OK 73116-9126 | 2019-03-05 |
| 1891261806 | Nicholas Isaac Key | Occupational Therapist | 6400 N Santa Fe Ave Ste B, Oklahoma City, OK 73116-9126 | 2018-10-17 |
| 1811405392 | Jill Annette Joseph | Speech-Language Pathologist | 6400 N Santa Fe Ave Ste B, Oklahoma City, OK 73116-9126 | 2018-01-18 |
| 1205341054 | Amy Ball | Occupational Therapist | 6400 N Santa Fe Ave Ste B, Oklahoma City, OK 73116-9126 | 2017-12-01 |
| 1821419250 | Amy Roland | Physical Therapist | 6400 N Santa Fe Ave Ste B, Oklahoma City, OK 73116-9126 | 2014-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039212 | Abigail Faith Hope Morgan | Physical Therapy Assistant | 1907 N Broadway Ave Ste A, Oklahoma City, OK 73103-4407 | 2020-07-02 |
| 1790296341 | Chelsey Mae Caballero | Physical Therapy Assistant | 2200 Nw 50th St Ste 109e, Oklahoma City, OK 73112-8044 | 2017-10-22 |
| 1073052858 | Amelia Waddle | Physical Therapy Assistant | 12008 Cantle Rd, Oklahoma City, OK 73120-8028 | 2017-02-14 |
| 1093259319 | Tiffany Miller | Physical Therapy Assistant | 6101 W Reno Ave Ste 800, Oklahoma City, OK 73127-6592 | 2016-12-05 |
| 1457713752 | Erica Driskill | Physical Therapy Assistant | 5617 Se 67th St, Oklahoma City, OK 73135-1725 | 2016-03-25 |
| 1700269529 | Eden Woznick | Physical Therapy Assistant | 828 N Peniel St, Oklahoma City, OK 73127-6234 | 2015-06-30 |
| 1861811374 | Shana Renee Stephenson | Physical Therapy Assistant | 3209 Nw Expressway, Oklahoma City, OK 73112-4131 | 2014-04-11 |
| 1467898114 | Tammy L Neher | Physical Therapy Assistant | 5725 S. Ross, Oklahoma City, OK 73159 | 2013-05-21 |
| 1104167816 | Chad Jeffrey Perry | Physical Therapy Assistant | 238 Quadrum Drive, Oklahoma City, OK 73108 | 2013-03-05 |
| 1558615302 | Penny Lanette Dennis | Physical Therapy Assistant | 11800 Dover Cir, Oklahoma City, OK 73162-3227 | 2012-11-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.