Jadyn Brooke Gibbs, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2681 Issued in OK

Practice address

1801 Chukka Hina
Durant, OK 74701-7117

Phone

(580) 920-2100

Fax

(580) 916-9201

NPI assigned

Oct 15, 2021

Last updated

Oct 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1073276275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LAZY LN",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747016307",
            "telephone_number": "580-743-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CHUKKA HINA",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747017117",
            "telephone_number": "580-920-2100",
            "fax_number": "580-916-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "JADYN",
        "middle_name": "BROOKE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy George, M.D.
• Terry R Gerard II, DO
• Germany Chiropractic, PLLC
• John Wayne Germany II, D.C.
• Gracie Giannini
• Danica Gibson
• Janice Rae Gibson
• Maurissa Renee Gibson
• Stacey L Gibson, DBH MBS MS LPC S
• Tammie Kim Gilbert

• Physical Therapy Assistant in Durant, OK
• Providers in Durant, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.