Justin E. Gordon, DPT
NPI 1205162674ActiveIndividual· Physical Therapist· Wake Forest, NC
Physical Therapist (DPT) in Wake Forest, North Carolina, licensed in NC and FL, with an NPI issued in October 2009. Medicare paid $37,762 for services to 79 patients in 2024.
Overview
| NPI | 1205162674 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Oct 20, 2009 |
| Last updated in NPPES | Oct 23, 2023 |
| Certified by provider | Oct 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | P17533 | NC |
| Physical Therapist | 225100000X | PT25049 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 79 |
|---|---|
| Services billed | 1,837 across 7 procedure codes |
| Paid by Medicare | $37,762 |
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All 96 physical therapists in Wake Forest · All physical therapists in North Carolina