Jacqualynn S Gordon (NPI# 1629547062, PAC ID# 3375881329) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1629547062 |
| PAC ID by PECOS | 3375881329 |
| Professional Enrollment ID | I20190217000000 |
| Full Name | Jacqualynn S Gordon |
| Organization Legal Name | RISE PHYSICAL THERAPY INC |
| Address |
380 Stevens Ave Suite 314 Solana Beach CA 92075-2069 |
| Phone Number | 8587555200 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2062636079 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2069 | 8587555200 | RISE PHYSICAL THERAPY INC |
| Organization Legal Name | RISE PHYSICAL THERAPY INC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Roh | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Michael James Hollstegge | Physical Therapy | Rise Physical Therapy Inc | 6451 El Camino Real, Suite 2, Carlsbad, CA 92009-2800 |
| Aaron Alexander | Physical Therapy | Rise Physical Therapy Inc | 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2069 |
| David Timothy Bailey | Physical Therapy | Rise Physical Therapy Inc | 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2069 |
| Thomas Williams Russell | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Alex Kelso | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Bryan Mcleod | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Brittany Revell | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Martin Nguyen | Physical Therapy | Rise Physical Therapy Inc | 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2069 |
| Andrew J Novencido | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Street Address |
380 STEVENS AVE SUITE 314 |
| City | SOLANA BEACH |
| State | CA |
| Zip | 92075-2069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aleksandriya S Demenko | Family Medicine | Scripps Health | 380 Stevens Ave, Suite 100, Solana Beach, CA 92075-2068 |
| Aaron Alexander | Physical Therapy | Rise Physical Therapy Inc | 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2069 |
| David Timothy Bailey | Physical Therapy | Rise Physical Therapy Inc | 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2069 |
| Martin Nguyen | Physical Therapy | Rise Physical Therapy Inc | 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2069 |
| Julio C Romero | Family Medicine | Scripps Health | 380 Stevens Ave, Suite 100, Solana Beach, CA 92075-2068 |
| Navid Hannanvash | Physical Therapy | Rise Physical Therapy Inc | 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2069 |
| Geoffrey R Barba | Physical Therapy | Rise Physical Therapy Inc | 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2069 |
| Rachel Elisabeth Nesseth | Physical Therapy | Rise Physical Therapy Inc | 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2069 |
| Philip Albert Sanderson | Family Practice | Scripps Health | 380 Stevens Ave, Suite 100, Solana Beach, CA 92075-2068 |
| Tracy J Alexander | Family Practice | Scripps Health | 380 Stevens Ave, Suite 100, Solana Beach, CA 92075-2068 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Foyle | Optometry | 437 S Hwy 101, Suite 103, Solana Beach, CA 92075 | |
| Gary Roy Bretow | Chiropractic | 107 N Acacia Ave, Solana Beach, CA 92075-1103 | |
| Andrew Pierce | Chiropractic | 124 Lomas Santa Fe Dr, Suite 203, Solana Beach, CA 92075-1258 | |
| Joanne K Danssaert | Physical Therapy | 530 Lomas Santa Fe Dr, Suite G, Solana Beach, CA 92075-1346 | |
| Robert Yuhas | Internal Medicine | 530 Lomas Santa Fe, Suite O, Solana Beach, CA 92075-1350 | |
| Karen Lee | Obstetrics/gynecology | 530 Lomas Santa Fe Dr, Suite 4, Solana Beach, CA 92075-1350 | |
| Erin R Giovannetti | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of San Diego Inc | 683 Lomas Santa Fe Dr, Solana Beach, CA 92075-1412 |
| Iris S Martin | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of San Diego Inc | 683 Lomas Santa Fe Dr, Solana Beach, CA 92075-1412 |
| Kim Ajlouny Ford | Psychologist, Clinical | 265 Santa Helena, Suite 214, Solana Beach, CA 92075-1546 | |
| Andreas Schenk | Physical Therapy | 312 S Cedros Ave, Suite 206, Solana Beach, CA 92075-1942 | |
| Find all physicians in zip 92075 | |||
| City | SOLANA BEACH |
| Zip Code | 92075 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SOLANA BEACH + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jacqualynn S Gordon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.