Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edmond Gordon, DPT

Individual provider Physical Therapist · NPI 1902282122

Dr. Edmond Gordon, DPT is a Physical Therapist in Private Practice in Seattle, Washington. Qualified in 2015, 11 years ago. Practices with Innova Physical Therapy LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
11
Licensed in
WA
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1200 12th Ave S
Seattle, WA 98144-2712
Phone: (206) 621-4080
Fax: (425) 412-7344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT60656836 (WA)

Record details

NPI number1902282122
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 11, 2015
Last updated in NPPESJanuary 24, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Innova Physical Therapy Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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