MS. K'OCKAC GORDON
NPI 1881993525
Rehabilitation Practitioner in Pasadena, CA
- Individual
- Female
- Rehabilitation Practitioner
About K'OCKAC GORDON
This page provides the complete NPI Profile along with additional information for K'ockac Gordon, a provider established in Pasadena, California with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1881993525 assigned on March 2011. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1881993525 Verify this NPI
- Provider Name
- MS. K'OCKAC GORDON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 867 N FAIR OAKS AVE PASADENA, CA 91103
- Location Phone
- (626) 798-6793
- Mailing Address
- 867 N FAIR OAKS AVE PASADENA, CA 91103
- Mailing Phone
- (626) 798-6793
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-21-2011
- Last Update Date
- 07-06-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License State
- CA
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PASADENA, CA 91103
PASADENA, CA 91103
PASADENA, CA 91103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881993525, enumerated as an "individual" on March 21, 2011.
The provider is located at 867 N FAIR OAKS AVE PASADENA, CA 91103 and the phone number is (626) 798-6793.
Rehabilitation Practitioner with taxonomy code 225400000X.
