| Dr Kristen Rachelle Gordon, PT, DPT | |
|
16030 Ventura Blvd Ste 450, Encino, CA 91436-2764 | |
| (818) 986-1977 | |
| Not Available |
| Full Name | Dr Kristen Rachelle Gordon |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 16030 Ventura Blvd Ste 450, Encino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487442372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 292467 (California) | Primary |
| Provider Name | Sand Coast Rehab Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kristen Rachelle Gordon, PT, DPT 655 Oak Valley Pkwy, Beaumont, CA 92223-1455 Ph: (951) 203-5923 | Dr Kristen Rachelle Gordon, PT, DPT 16030 Ventura Blvd Ste 450, Encino, CA 91436-2764 Ph: (818) 986-1977 |
Mrs. Rachel George, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5359 Balboa Blvd, Encino, CA 91316 Phone: 818-304-0990 Fax: 818-304-0996 | |
Advanced Therapy Ot Pt Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16573 Ventura Blvd Ste 8, Encino, CA 91436 Phone: 818-986-7266 Fax: 818-907-3890 | |
Peter Theodorus Otto Van Der Heide, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5500 Lindley Ave, Unit 121, Encino, CA 91316 Phone: 408-398-1163 | |
Ms. Bonnie M. Cardenas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5359 Balboa Blvd # A, Encino, CA 91316 Phone: 818-506-7821 Fax: 818-506-6722 | |
Speech Source Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15720 Ventura Blvd Ste 503, Encino, CA 91436 Phone: 818-788-4121 | |
Mrs. Jana Ampara Ashcraft, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16550 Ventura Blvd, Suite 400, Encino, CA 91436 Phone: 818-905-1331 Fax: 818-905-8836 | |
Emily Diebold, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16430 Ventura Blvd, Suite 108, Encino, CA 91436 Phone: 818-788-2544 Fax: 818-788-2610 |