JULIE M GORDON (PT) – Physical Therapist, NPI 1952429078

JULIE M GORDON (PT) is a healthcare provider. based in Vandalia, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 0003338 (CO). The NPI Number for JULIE M GORDON (PT) is 1952429078

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
JULIE M GORDON (PT)
NPI
1952429078
Phone
(303) 267-3282
Address
1911 LAKE RIDGE DR
Enumeration Date
27 March 2007
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3036741594
Graduation Year
1989 (37 years ago)
PAC ID
2961497987
Group Practice PAC ID
6709771157
Professional Enrollment ID
I20250521002525
Address ID
CO804397984EV30940BLVD308
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for JULIE M GORDON (PT)

  • 1911 LAKE RIDGE DR

    VANDALIA, IL 624713804

    Phone: (303) 267-3282

    Type: Mailing

  • 126 S. FIRST STREET

    VANDALIA, IL 62471

    Phone: (618) 283-1634

    Fax: (618) 283-0423

    Type: Mailing

  • 30940 STAGECOACH BLVD STE E270

    EVERGREEN, CO 804397782

    Phone: (303) 647-5300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250521002525IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,03870$0
97530Therapy procedure using functional activities1,00667$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes77869$0
97140Therapy procedure using manual technique, each 15 minutes77466$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care52546$0
View full utilization report →

Insurance plans in this area (ZIP 62471)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709771157View full group profile
NameSpecialtyState
-CO
Family PracticeCO
-CO
Internal MedicineCO
Family PracticeFL
Physician AssistantCO
Physician AssistantCO
-OR
Internal MedicineCO
Physical Therapist In Private PracticeAK

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Frequently asked questions

Does JULIE M GORDON (PT) have a public NPI I can cite?
Public records show JULIE M GORDON (PT) under NPI 1952429078.
Quick check: is JULIE M GORDON (PT) active?
Public NPPES data shows JULIE M GORDON (PT) with an active NPI status right now.
What services align with JULIE M GORDON (PT)'s listing?
JULIE M GORDON (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JULIE M GORDON (PT) tied to Vandalia, Illinois?
If you are local to Vandalia, Illinois, JULIE M GORDON (PT) may be relevant to your search.
Why is information missing for JULIE M GORDON (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.