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

Matthew Gordon

Individual provider Physical Therapist · NPI 1710396494

Matthew Gordon is a Physical Therapist in Private Practice in Champaign, Illinois. Qualified in 2011, 15 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
15
Licensed in
IL, IN
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2906 Crossing Ct
Champaign, IL 61822-6163
Phone: (217) 398-9800
Fax: (217) 366-0037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1805 E Hoffer St, Kokomo, IN 46902-2443 — (765) 450-7261
  • 5 Broadway Plz, Peru, IN 46970-1052 — (765) 327-2111

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070020762 (IL)
Physical Therapist Taxonomy 225100000X · Licence 05015791A (IN)

Record details

NPI number1710396494
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2014
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address2906 Crossing Ct, Champaign, IL 61822-6163

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Champaign