Kimberly D Gordon (NPI# 1063646511, PAC ID# 6507899010) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1063646511 |
| PAC ID by PECOS | 6507899010 |
| Professional Enrollment ID | I20100618000028 |
| Full Name | Kimberly D Gordon |
| Organization Legal Name | ACTIVE PT CORP |
| Address |
3100 19th St Nw Rochester MN 55901-6606 |
| Phone Number | 5073223460 |
| Gender | F |
| Credential | PT |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9931279932 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3100 19th St Nw, Rochester, MN 55901-6606 | 5073223460 | ACTIVE PT CORP |
| 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 | 5073223460 | ACTIVE PT CORP |
| Organization Legal Name | ACTIVE PT CORP |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon C Voth | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Brian G Mcquilkin | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Courtney J Hilmanowski | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Alyssa L Boben | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Jill K Tacl | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Susan K Rader | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| David Allen Lucas | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Mary A Kleis | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Kayla P Kramer | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Joan M Kopacz | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Street Address |
3100 19TH ST NW |
| City | ROCHESTER |
| State | MN |
| Zip | 55901-6606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon C Voth | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Brian G Mcquilkin | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Courtney J Hilmanowski | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Alyssa L Boben | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Jill K Tacl | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Susan K Rader | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| David Allen Lucas | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Mary A Kleis | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Kayla P Kramer | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Joan M Kopacz | Physical Therapy | Active Pt Corp | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith K Swezey | Optometry | 3400 55th St Nw, Rochester, MN 55901-0123 | |
| Karen M Bjorngaard | Optometry | Gibbons Optical, LLC | 150 17th Ave Nw, Rochester, MN 55901-0321 |
| Jane E Buffie | Clinical Social Worker | Family Service Rochester Inc | 4600 18th Ave Nw, Rochester, MN 55901-0400 |
| Matthew J Mckay | Clinical Social Worker | Family Service Rochester Inc | 4600 18th Ave Nw, Rochester, MN 55901-0400 |
| Scott T Junge | Chiropractic | Junge Family Chiropractic Pllc | 4164 18th Ave Nw, Rochester, MN 55901-0474 |
| Anna J Schumacher | Chiropractic | Junge Family Chiropractic Pllc | 4164 18th Ave Nw, Rochester, MN 55901-0474 |
| Nathan A E Saj | Chiropractic | 1610 Hwy 52 N, Rochester, MN 55901-1664 | |
| Charles T Boisen | Chiropractic | 1751 Hwy 52 N, Rochester, MN 55901-1692 | |
| Sharlyn Asfahl | Nurse Practitioner | Planned Parenthood Minnesota, North Dakota, South Dakota | 1212 7th Nwst, Rochester, MN 55901-1733 |
| Rebecca L Bunke | Clinical Social Worker | Highland Meadows Counseling Center, Inc | 3737 40th Ave Nw, Rochester, MN 55901-1772 |
| Find all physicians in zip 55901 | |||
| City | ROCHESTER |
| Zip Code | 55901 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ROCHESTER + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kimberly D 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.