Mark Anthony Gibson II, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005455 Issued in KY

Practice address

1028 E Main St
Morehead, KY 40351-1328

Phone

(606) 783-6919

Fax

(606) 783-6629

NPI assigned

Feb 17, 2010

Sex

Male

Sole proprietor

Yes

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

Enrolled in KY, WV2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

West Virginia University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Therapy Services 4 clinicians

Generations R.C., Inc. 13 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Mobile Therapy Services

  • Physical Therapist
  • Grayson, KY
  • NPI 1689865966

  KY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Generations R.C., Inc

  • Physical Therapist
  • Barboursville, WV
  • NPI 1609930379
  Medicare reassignment Care Compare group NPD
• Generations R.C. Inc.

  • Physical Therapist
  • Winfield, WV
  • NPI 1346571353
  NPD
• Generations R.C., Inc.

  • Physical Therapist
  • Benwood, WV
  • NPI 1578363701
  NPD
• Generations R.C., Inc.

  • Physical Therapist
  • Milton, WV
  • NPI 1982768586
  NPD (past)

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1174845259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 EAST MAIN STREET",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511328",
            "telephone_number": "606-783-6919",
            "fax_number": "606-783-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 E MAIN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511328",
            "telephone_number": "606-783-6919",
            "fax_number": "606-783-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateway Children'S Advocacy Center
• Gateway District Health Department
• Isabella Gearhart
• May Ghanim-Moustafa, APRN
• Gharad Cardiology, PLLC
• Ginter Chiropractic
• Christopher Thomas Ginter, DC
• Sabrina Lynn Gipson
• Jennifer Goble
• Emily Goodman, MSPAS PA-C

• All providers in Morehead, KY
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.

Verify at the official NPI Registry.