| Benjamin Gordon, | |
|
516 Route 134 Ste 9, South Dennis, MA 02660-3430 | |
| (774) 352-7090 | |
| Not Available |
| Full Name | Benjamin Gordon |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 516 Route 134 Ste 9, South Dennis, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427742626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Proex Physical Therapy Llc | 0345212395 | 145 |
| Provider Name | Proex Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1831190453 PECOS PAC ID: 0345212395 Enrollment ID: O20040810000744 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Gordon, 576 Broadhollow Rd, Melville, NY 11747-5002 Ph: () - | Benjamin Gordon, 516 Route 134 Ste 9, South Dennis, MA 02660-3430 Ph: (774) 352-7090 |
Madison Dacey, Physical Therapist Medicare: Medicare Enrolled Practice Location: 860 Route 134 Ste 5&6, South Dennis, MA 02660 Phone: 508-385-4212 | |
Tessa Marie Wisniewski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Love Ln, South Dennis, MA 02660 Phone: 508-385-6034 | |
Amy Barbara Riel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 860 Route 134, South Dennis, MA 02660 Phone: 508-385-4212 Fax: 508-385-4235 | |
Andrew Witherspoon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 860 Route 134, Ste 5&6, South Dennis, MA 02660 Phone: 508-385-4212 Fax: 508-385-4235 | |
Emilie E Cataldo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 485 Route 134, South Dennis, MA 02660 Phone: 508-385-4611 | |
Jamie L Missios, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 485 Route 134, South Dennis, MA 02660 Phone: 508-394-0941 | |
Megan L Mann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 485 Route 134, South Dennis, MA 02660 Phone: 508-394-0941 |