MR. OSCAR GORDON JR.
NPI 1497536387
Massage Therapist in Lilburn, GA

Q: What is Oscar Gordon's NPI number?

The NPI number for Oscar Gordon is 1497536387. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Q: What is Oscar Gordon's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Oscar Gordon was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 09, 2023

2457 DAKOTA TRL SW, LILBURN, GA 30047(678) 531-1232 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Oscar Gordon Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. OSCAR GORDON JR. (NPI 1497536387) is an individual massage therapist in Lilburn, Georgia, licensed in Georgia (MT009326) and active in the NPI registry since October 2023. He maintains a secondary practice location in Stone Mountain.

NPPES Registry Identity

NPI1497536387

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMR. OSCAR GORDON JR.

Location Address2457 DAKOTA TRL SWLilburn, GA 30047-5772

Mailing Address4426 Hugh Howell Rd # 117Tucker, GA 30084-4918 · (678) 383-7279

Phone(678) 531-1232

Sole ProprietorYes

Enumeration DateOctober 9, 2023

NPPES CertifiedOctober 7, 2023

✔ NPI 1497536387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in GA · MT009326

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Also ListedHealth and Wellness CoachTaxonomy 171400000X

2457 DAKOTA TRL SW, Lilburn, GA 30047

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Secondary Practice Location 1

Location 15370 Stone Mountain HwyStone Mountain, GA 30087-3581 · Phone (770) 498-7879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oscar Gordon's NPI number?

The NPI number for Oscar Gordon is 1497536387. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Where is Oscar Gordon located?

Oscar Gordon practices at 2457 Dakota Trl SW, Lilburn, GA 30047. The listed phone number is (678) 531-1232.

What is Oscar Gordon's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Oscar Gordon was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.