P Praxis·MD
● Active Type 1 · Individual

William Marcus Gordon

Massage Therapist·Hiram, GA· NPI 1407610157 · Enumerated 2024 · 2 years on NPI
Gordon is 1 of 6 massage therapist providers in Hiram and 1 of 1375 in Georgia.
NPI age
2 years
Enumerated 2024-02-12
Primary specialty
Massage Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1375 active massage therapist providers in Georgia.

NPI age
2 years
↓ 3 yr below median (5 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-02Enumerated in NPPES
2024 2026

Where they practice

Practice location
96 Wren Walk
Hiram, GA 301415714
📞 7709488000
Mailing address
1575 Ridenour Pkwy Nw Apt 2131
Kennesaw, GA 301524552
📞 8153911809

Specialties

  • Massage Therapist Primary
    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.
    GA license #MT014097 taxonomy 225700000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new massage therapist provider has been added in Hiram in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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