Active NPI
Ann Marie Gibson, PT, DPT
- Physical Therapist
- Union, NJ
National Provider Identifier
1114469434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01693400
- Practice address
- 1000 Galloping Hill Rd
Suite 201B
Union, NJ 07083-7989 - Phone
- (908) 258-8782
- Fax
- (908) 258-8783
- NPI assigned
- Nov 17, 2016
- Sex
- Female
- 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 | 40QA01693400 | NJ | Primary |
Addresses
Primary practice location
1000 Galloping Hill Rd
Suite 201B
Union, NJ 07083-7989
Mailing address
3830 Park Ave
Suite 201
Edison, NJ 08820-2562
Phone (732) 494-0895
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": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1114469434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 PARK AVE",
"address_2": "SUITE 201",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202562",
"telephone_number": "732-494-0895",
"fax_number": "732-494-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 GALLOPING HILL RD",
"address_2": "SUITE 201B",
"city": "UNION",
"state": "NJ",
"postal_code": "070837989",
"telephone_number": "908-258-8782",
"fax_number": "908-258-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "ANN MARIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-17",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01693400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.