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

Mr. Justin W Gordon, ATC, LAT

Individual provider Athletic Trainer · NPI 1205248200

Mr. Justin W Gordon, ATC, LAT is an Athletic Trainer in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

3500 SW 119th St
Oklahoma City, OK 73170-4500
Phone: (405) 692-3252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 731 (OK)

Record details

NPI number1205248200
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedMay 24, 2014
Last updated in NPPESMay 24, 2014

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