CARRIE KATZ GORDON (NPI# 1144383415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144383415 |
Entity Type | Individual |
Full Name | CARRIE KATZ GORDON |
Credential | DPT |
Practice Address |
100 E Irving Park Rd St 107 Roselle IL 60172-2048 |
Mailing Address |
360 W Illinois St Unit 5f Chicago IL 60654-3658 |
Practice Telephone | 6304390009 |
Mailing Telephone | 3129292520 |
Enumeration Date | 2006-12-18 |
Last Update Date | 2009-06-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
070.013610 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
17683 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134511769 | Carrie Justina Gordon | Physical Therapy Assistant | 1204 Frye St, Athens, TN 37303-3052 | 2015-02-18 |
1134498926 | Carrie Kallenbach Gordon | Nurse Practitioner | 300 Bradford Street, Maguire Correctional Facility, Redwood City, CA 94063 | 2011-12-22 |
1215020755 | Carrie A Gordon | Pediatrics | 887 Congress St., Suite 320, Portland, ME 04102 | 2006-10-02 |
1992772644 | Carrie Ann Gordon | Obstetrics & Gynecology | 4860 Y St, Ob/gyn, Suite 2500, Sacramento, CA 95817-2307 | 2006-03-01 |
Street Address |
100 E IRVING PARK RD ST 107 |
City | ROSELLE |
State | IL |
Zip Code | 60172-2048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669540027 | American Medical Billing, Inc | Specialist | 100 E Irving Park Rd, Ste. #200, Roselle, IL 60172-2048 | 2006-12-01 |
1790189868 | Zoe Enterprise, Inc | Physical Medicine & Rehabilitation | 100 E Irving Park Rd, Ste #200, Roselle, IL 60172-2048 | 2014-10-17 |
1538419155 | Zoe Enterprises, Inc | Physical Therapist | 100 E Irving Park Rd, Suite 107, Roselle, IL 60172-2048 | 2012-09-11 |
1629249917 | Total Rehab PC | Physical Therapist | 100 E Irving Park Rd, Ste 107, Roselle, IL 60172-2048 | 2008-03-14 |
1760603690 | Total Rehab, PC | Durable Medical Equipment & Medical Supplies | 100 E Irving Park Rd, Ste. #107, Roselle, IL 60172-2048 | 2007-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881292084 | Marsico Enterprises, LLC | In Home Supportive Care | 400 W. Lake Street, Suite 112c, Roselle, IL 60172 | 2020-10-12 |
1013483247 | Max Care Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 701 E Irving Park Rd Ste 201, Roselle, IL 60172 | 2018-10-15 |
1386137305 | Performance Physical Therapy LLC | Physical Therapist | 400 Lake St Ste 320b, Roselle, IL 60172 | 2018-06-13 |
1154780740 | Midwest Speech Therapy | Occupational Therapist | 975 E Nerge Road, Suite W20, Roselle, IL 60172 | 2016-02-11 |
1750790408 | Finite Dental LLC | Clinic/Center | 1530 W Lake St, Roselle, IL 60172 | 2014-08-07 |
1912292780 | Chris Ciaschini | Contractor | 401 S. Gary Ave, Suite 1, Roselle, IL 60172 | 2011-06-09 |
1306141916 | Access Elevator, Inc. | Contractor | 42 Congress Circle W, Roselle, IL 60172 | 2011-01-13 |
1568794113 | Jake Buranicz | Physical Medicine & Rehabilitation | 395 Rodenburg Rd., Home Health - Travel, Roselle, IL 60172 | 2010-02-08 |
1952565541 | Reema C Patel | Physical Therapist | 1540 W Lake St, Premier Physical Therapy, Roselle, IL 60172 | 2008-07-14 |
1669642294 | Max Care Home Health Services Inc. | Home Health | 701 East Irvin Park Road, Suite 106, Rosele, IL 60172 | 2008-03-11 |
Find all providers in zip 60172 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871947242 | Bdr Healthcare and Management Consulting, Ltd | Physical Therapist | 117 Picton Rd, Roselle, IL 60172-3576 | 2016-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659986891 | Murtaza Aziz | Physical Therapist | 1431 N Western Ave Ste 140, Chicago, IL 60622-1770 | 2020-09-14 |
1902416720 | Epicore Physical Therapy | Physical Therapist | 1660 N La Salle Dr Apt 2708, Chicago, IL 60614-6021 | 2020-08-06 |
1356968374 | Genevieve Joy Owen | Physical Therapist | 555 Busse Hwy Unit C1, Park Ridge, IL 60068-3189 | 2020-06-26 |
1518597772 | Stability Physical Therapy and Wellness, LLC | Physical Therapist | 5031 W Balmoral Ave, Chicago, IL 60630-1507 | 2020-01-16 |
1154972719 | Antonio Marquez | Physical Therapist | 7425 Janes Ave Ste 200, Woodridge, IL 60517-2358 | 2019-09-25 |
1376198978 | Natalie N Ruebke | Physical Therapist | 251 Marketplace Dr # 2, Freeburg, IL 62243-4082 | 2019-08-09 |
1902360241 | Stephanie Lynne Burkhart | Physical Therapist | 12251 W 159th St, Homer Glen, IL 60491-7847 | 2019-01-30 |
1003388943 | Scoliosis Therapy Care and More LLC | Physical Therapist | 4n369 Booth Tarkington St, St Charles, IL 60175-7731 | 2018-12-17 |
1912478082 | Brandon Donnelly | Physical Therapist | 2200 Fort Jesse Rd Ste 230, Normal, IL 61761-6291 | 2018-12-16 |
1497251086 | John William Herbert | Physical Therapist | 1316 N Route 59, Naperville, IL 60563-4286 | 2018-04-03 |
Find all providers with the same taxonomy |
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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.