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

Kristin Lea Gordon, PTA

Individual provider Physical Therapy Assistant · NPI 1073434791

Kristin Lea Gordon, PTA is a Physical Therapy Assistant in Myrtle Beach, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2026
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

5028 Billy K Trl
Myrtle Beach, SC 29579-4120
Phone: (843) 457-9427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2327 (SC)

Record details

NPI number1073434791
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 21, 2026
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

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