Gail Giberson, PT

Individual provider Active NPI Physical Therapist · Newington, CT

NPI 1104964337 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104964337
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
001998 (CT)
Practice address
181 Patricia Genova Drive
Eastern Rehabilitation Network (5TH Floor)
Newington, CT 06111
Phone
(860) 667-5480
Fax
(860) 667-8416
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
001998CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Rehabilitation Network Headache Clinic Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 001998 CT Yes

Addresses

Primary practice location

181 Patricia Genova Drive
Eastern Rehabilitation Network (5TH Floor)
Newington, CT 06111

Mailing address

181 Patricia Genova Drive
Eastern Rehabilitation Network (5TH Floor)
Newington, CT 06111
Phone (860) 667-5480

Other providers in Newington, CT

All providers in Newington, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.