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

Jacqueline Gordon, PTA

Individual provider Physical Therapy Assistant · NPI 1104241488

Jacqueline Gordon, PTA is a Physical Therapy Assistant in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

6400 N Santa Fe Ave Ste B
Oklahoma City, OK 73116-9126
Phone: (405) 840-2903
Fax: (405) 840-3256
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1057 (OK)

Record details

NPI number1104241488
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 24, 2014
Last updated in NPPESFebruary 24, 2014
Mailing address1501 Redman Dr, Newcastle, OK 73065-5635

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