GORDON R ESTLACK MPT
NPI 1750609624
Physical Therapist in Lima, OH

Active since May 17, 2010Accepts Medicare Assignment
801 MEDICAL DR STE A, LIMA, OH 45804(419) 222-6622(419) 224-0015 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 15, 2018, Oct 26, 2018 (2 updates tracked since 2018).

About Gordon R Estlack Mpt NPPES

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

GORDON R ESTLACK MPT (NPI 1750609624) is an individual physical therapist in Lima, Ohio, licensed in Ohio (PT012580) and active in the NPI registry since May 2010. He is a graduate of Other (2009).

NPPES Registry Identity

NPI1750609624
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameGORDON R ESTLACKCredential: MPT
Location Address801 MEDICAL DR STE ALima, OH 45804-4030
Mailing Address801 Medical Dr Ste ALima, OH 45804-4030 · (419) 222-6622 · Fax (419) 224-0015
Fax(419) 224-0015
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 17, 2010
Last NPPES UpdateNovember 15, 20182 updates tracked since enumeration
NPI 1750609624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in OH · PT012580
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

801 MEDICAL DR STE A, Lima, OH 45804

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gordon R Estlack Mpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315264124
PECOS Enrollment IDI20150316000869

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
2,685 services180 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
413 services83 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
395 services40 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
365 services56 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
94 services85 patients
Evaluation for physical therapy, typically 45 minutes 97163
An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
72 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
801 MEDICAL DR STE A
LIMA, OH 45804
Physician Assistant (Surgical)
801 MEDICAL DR STE A
LIMA, OH 45804
Physician Assistant (Surgical)
801 MEDICAL DR STE A
LIMA, OH 45804
Orthopaedic Surgery
801 MEDICAL DR STE A
LIMA, OH 45804
Orthopaedic Surgery
801 MEDICAL DR STE A
LIMA, OH 45804
Orthopaedic Surgery
801 MEDICAL DR STE A
LIMA, OH 45804
Physical Therapist
801 MEDICAL DR STE A
LIMA, OH 45804
Physical Therapist
801 MEDICAL DR STE A
LIMA, OH 45804

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 Gordon Estlack's NPI number?

The NPI number for Gordon Estlack is 1750609624. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Where is Gordon Estlack located?

Gordon Estlack practices at 801 Medical Dr Ste A, Lima, OH 45804. The listed phone number is (419) 222-6622.

What is Gordon Estlack's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Gordon Estlack enrolled in Medicare?

Yes. Gordon Estlack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gordon Estlack accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Gordon Estlack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gordon Estlack was last updated on November 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.