Active NPI
William Bays Gibson, DPT
- Physical Therapist
- Salem, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305203663
- Practice address
- 2119 Apperson Dr
Salem, VA 24153-7235 - Phone
- (540) 772-8022
- Fax
- (540) 527-0055
- NPI assigned
- Feb 7, 2007
- 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 | 2305203663 | VA | Primary |
Addresses
Primary practice location
2119 Apperson Dr
Salem, VA 24153-7235
Mailing address
2119 Apperson Dr
Salem, VA 24153-7235
Phone (540) 772-8022
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193442 | Other | VA | ANTHEM PT LOC 5 |
| 193431 | Other | VA | ANTHEM PT LOC 1 |
| 249624 | Other | VA | ANTHEM PT LOC 6 |
| 193434 | Other | VA | ANTHEM PT LOC 2 |
| 193437 | Other | VA | ANTHEM PT LOC 3 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060403000096 | VA | Practitioner - Physical Therapist in Private Practice | 4981612934 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lucas Physical Therapy Inc
Practice addresses (Care Compare)
512 McDowell Ave NE
Suite a
Roanoke, VA 24016-1532
Phone (540) 772-8022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucas Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
3960 Valley Gateway Blvd
Ste A3
Roanoke, VA 24012
4325 Brambleton Ave
Ste A
Roanoke, VA 24018
512 McDowell Ave NE
Ste A
Roanoke, VA 24016
4533 Brambleton Ave
Roanoke, VA 24018
Phone (540) 989-1246
2119 Apperson Dr
Salem, VA 24153
Phone (540) 685-0168
109 Knotbreak Rd
Salem, VA 24153
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Roanoke, VA
- NPI 1285774745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043350291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 APPERSON DR",
"city": "SALEM",
"state": "VA",
"postal_code": "241537235",
"telephone_number": "540-772-8022",
"fax_number": "540-527-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 APPERSON DR",
"city": "SALEM",
"state": "VA",
"postal_code": "241537235",
"telephone_number": "540-772-8022",
"fax_number": "540-527-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "WILLIAM",
"middle_name": "BAYS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305203663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PT LOC 5",
"identifier": "193442",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PT LOC 1",
"identifier": "193431",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PT LOC 6",
"identifier": "249624",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PT LOC 2",
"identifier": "193434",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PT LOC 3",
"identifier": "193437",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.