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

Jerod Gordon

Individual provider Occupational Therapist · NPI 1780075275

Jerod Gordon is an Occupational Therapist in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015

Practice location Address checks out

1808 Blossom Ln
Tyler, TX 75701-8237
Phone: (903) 724-3849
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 113449 (TX)

Record details

NPI number1780075275
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 5, 2015
Last updated in NPPESFebruary 5, 2015
Mailing address1808 Blossom Ln, Tyler, TX 75701-8237

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