| Nicole Gordon, PT | |
|
64541 Van Dyke Rd, Washington Twp, MI 48095-2570 | |
| (586) 935-1100 | |
| (586) 935-1101 |
| Full Name | Nicole Gordon |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 28 Years |
| Location | 64541 Van Dyke Rd, Washington Twp, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386928307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501009680 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Team Rehabilitation Services Llc | 2264479518 | 540 |
| Provider Name | University Neurosurgical Associates Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699761379 PECOS PAC ID: 9739139759 Enrollment ID: O20050127000624 |
| Provider Name | Team Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548932619 PECOS PAC ID: 2264479518 Enrollment ID: O20211027001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Gordon, PT 33900 Harper Ave, Suite 104, Clinton Township, MI 48035-4258 Ph: (586) 416-9100 | Nicole Gordon, PT 64541 Van Dyke Rd, Washington Twp, MI 48095-2570 Ph: (586) 935-1100 |
Rami Maasri, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 64541 Van Dyke Rd, Washington Twp, MI 48095 Phone: 586-935-1100 Fax: 586-935-1101 | |
Jennifer Bara, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 64541 Van Dyke Rd Ste 6, Washington Twp, MI 48095 Phone: 586-935-1100 Fax: 586-935-1101 | |
Chantel Fontaine, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 64541 Van Dyke Rd, Washington Twp, MI 48095 Phone: 586-935-1100 Fax: 586-935-1101 |