MEDICARE: ALISON GORDIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTH12433	AL

General Provider Information

NPI Number	:	1558246504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON GORDIN

Provider Business Mailing Address
First Line	:	26 OLD TOWN LN
Second Line	:
City	:	HALESITE
State	:	NY
Zip	:	11743-2215
Country	:	US
Telephone Number	:	631-678-7713
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MONTGOMERY HWY STE 150
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-1898
Country	:	US
Telephone Number	:	205-822-0067
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2025
Last Update Date	:	08/08/2025

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Directions to “ ALISON GORDIN ” Practice Location

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