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

Mr. Jeffrey Stephen Gordon, PT

Individual provider Physical Therapist · NPI 1215008495

Mr. Jeffrey Stephen Gordon, PT is a Physical Therapist in Private Practice in Fairbanks, Alaska. Qualified in 2002, 24 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Alaska, Arizona and North Carolina.

Years since qualifying
24
Licensed in
AK, AZ, NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1755 Westwood Way # 7
Fairbanks, AK 99709-4064
Phone: (907) 479-0623
Fax: (888) 761-9303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1784 (AK)
Physical Therapist Taxonomy 225100000X · Licence 5926 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 12294 (NC)

Record details

NPI number1215008495
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 10, 2006
Last updated in NPPESApril 13, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairbanks