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

Mr. Jonathan Gordon, PT

Individual provider Physical Therapist · NPI 1104004886

Mr. Jonathan Gordon, PT is a Physical Therapist in Private Practice in Saint Louis, Missouri. Qualified in 1987, 39 years ago. Practices with Rehabilitation Professionals Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
39
Licensed in
MO
In the registry since
2008
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

6744 Clayton Rd Ste 220
Saint Louis, MO 63117-1637
Phone: (314) 644-1978
Fax: (314) 647-1350
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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 105413 (MO)

Record details

NPI number1104004886
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 5, 2008
Last updated in NPPESFebruary 5, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Rehabilitation Professionals Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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