Active NPI
Benjamin Gibson, DPT
- Physical Therapist
- Arlington, MA
National Provider Identifier
1003284001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21979
- Practice address
- 43 Milton St
Arlington, MA 02474-8705 - Phone
- (641) 521-0012
- NPI assigned
- Sep 8, 2015
- Last updated
- Sep 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21979 | MA | Primary |
Addresses
Primary practice location
43 Milton St
Arlington, MA 02474-8705
Mailing address
654 Beacon St 2
Boston, MA 02215-2099
Phone (617) 536-1161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1003284001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 BEACON ST 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "022152099",
"telephone_number": "617-536-1161",
"fax_number": "617-536-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 MILTON ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024748705",
"telephone_number": "641-521-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "BENJAMIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-08",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.