Individual provider · Type 1 NPI

Kelly Gordon

Physical Therapy Assistant · Crestview, FL

NPI number 1992677827 Active

Practice location

151 E Redstone Ave
Crestview, FL 32539-5352

Call (850) 423-1000 Map

Mailing address

147 Strike Eagle Dr
Crestview, FL 32536-2240

Other practice locations

  • 1849 E 1st Ave, Crestview, FL 32539-3109 · (850) 682-5322

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA25246 (FL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

37 other providers at this address

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About NPI 1992677827

Kelly Gordon's National Provider Identifier is 1992677827, issued on Sep 20, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Crestview, FL. The record was last updated on Sep 20, 2025.