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

Mr. Justin E Gordon, DPT

Individual provider Physical Therapist · NPI 1205162674

Mr. Justin E Gordon, DPT is a Physical Therapist in Wake Forest, North Carolina. Licensed in Florida and North Carolina. Registered with an NPI since 2009.

Licensed in
FL, NC
In the registry since
2009
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3150 Rogers Rd Ste 216
Wake Forest, NC 27587-7068
Phone: (919) 229-8363
Fax: (919) 229-8356
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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 P17533 (NC)
Physical Therapist Taxonomy 225100000X · Licence PT25049 (FL)

Record details

NPI number1205162674
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 20, 2009
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

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