Jordan Paul Gaston, is a
Physical Therapist based in Thompsons Station, Tennessee. Jordan Paul Gaston is licensed to practice in Alabama (license number PTH10120) and his current practice location is
1482 Channing Dr, Thompsons Station, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(318) 613-0294.
NPI number for Jordan Paul Gaston is 1760066229 and his current mailing address is Po Box 168, Crystal Springs, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760066229.
Healthcare Provider's Profile
| Full Name | Jordan Paul Gaston |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 1482 Channing Dr, Thompsons Station, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760066229
- Provider Enumeration Date: 05/11/2021
- Last Update Date: 05/11/2021
Medical Identifiers
Medical identifiers for Jordan Paul Gaston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760066229 | NPI | - | NPPES |
| PTH10120 | Other | AL | ALABAMA PT BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | PTH10120 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Paul Gaston is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jordan Paul Gaston, Po Box 168, Crystal Springs, MS 39059-0168 Ph: (850) 588-9641 | Jordan Paul Gaston, 1482 Channing Dr, Thompsons Station, TN 37179-2900 Ph: (318) 613-0294 |
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