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

Kristopher Gordon

Individual provider Physical Therapy Assistant · NPI 1952734170

Kristopher Gordon is a Physical Therapy Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013

Practice location Address checks out

615 E Portland St
Phoenix, AZ 85004
Phone: (602) 320-9109
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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 9022A (AZ)

Record details

NPI number1952734170
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 12, 2013
Last updated in NPPESAugust 12, 2013
Mailing address615 E Portland Street, Unit 104, Phoenix, AZ 85004

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