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

Gordon R Estlack, MPT

Individual provider Physical Therapist · NPI 1750609624

Gordon R Estlack, MPT is a Physical Therapist in Private Practice in Lima, Ohio. Qualified in 2009, 17 years ago. Practices with Orthopaedic Institute of Ohio, Inc, a 74-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
17
Licensed in
OH
In the registry since
2010
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

801 Medical Dr Ste A
Lima, OH 45804-4030
Phone: (419) 222-6622
Fax: (419) 224-0015
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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 PT012580 (OH)

Record details

NPI number1750609624
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedMay 17, 2010
Last updated in NPPESNovember 15, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Orthopaedic Institute Of Ohio, Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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