Nathan Gibson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9652 Issued in TN

Practice address

1921 N Charles G Seivers Blvd
Clinton, TN 37716-6700

Phone

(865) 457-1649

Fax

(865) 463-7825

NPI assigned

Aug 28, 2014

Last updated

Sep 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Champion Physical Therapy LLC Halls

  • Rehabilitation Clinic/Center
  • Knoxville, TN
  • NPI 1073771564

  Physical Therapist

  Medicare reassignment NPD
• Summit Medical Group, PLLC

  dba Cool Springs Internal Medicine and Pediatrics

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  Medicare reassignment NPD
• Champion Physical Therapy, LLC

  dba CORA Physical Therapy - Pigeon Forge

  • Rehabilitation Clinic/Center
  • Pigeon Forge, TN
  • NPI 1477151777
  NPD
• Summit Medical Group, PLLC

  dba Emory Family Practice

  • Family Medicine Physician
  • Powell, TN
  • NPI 1740351196
  NPD
• Summit Medical Group PLLC

  dba Summit Medical Group of Oak Ridge

  • Family Medicine Physician
  • Oak Ridge, TN
  • NPI 1437238797
  NPD (past)
• Summit Medical Group,PLLC

  dba Summit Medical Group of Cookeville

  • Internal Medicine Physician
  • Cookeville, TN
  • NPI 1588362164
  NPD (past)
• Champion Physical Therapy Kentucky LLC

  dba CORA Physical Therapy - Corbin

  • Rehabilitation Clinic/Center
  • Corbin, KY
  • NPI 1568001493
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1053711903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 N CHARLES G SEIVERS BLVD",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166700",
            "telephone_number": "865-457-1649",
            "fax_number": "865-463-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 N CHARLES G SEIVERS BLVD",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166700",
            "telephone_number": "865-457-1649",
            "fax_number": "865-463-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "NATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-28",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "8465",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Miranda Fox, PHARMD
• Rickey Wade Garner Jr.
• Cyndi Morgan Garrigan, CD
• Gem Neurology PLLC
• Matthew Vernon Gent, FNP
• Jamie Mitchell Giles, FNP
• Jennifer Lauren Gill, RN
• Taylor Layne Gilliam, DPT
• Ronald Earl Goans, M.D., PH.D., M.P.H.
• Cynthia Odelene Godsey, PTA

• Physical Therapist in Clinton, TN
• Providers in Clinton, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.