Active NPI
Michelle Kristina Gibson, DPT
- Physical Therapist
- Key West, FL
National Provider Identifier
1184960940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 08457
- Practice address
- 5860 College Rd
Key West, FL 33040-4314 - Phone
- (305) 296-4888
- NPI assigned
- Dec 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 08457 | LA | Primary |
| Physical Therapist | 225100000X | PT 28032 | FL |
Addresses
Primary practice location
5860 College Rd
Key West, FL 33040-4314
Mailing address
PO Box 831
Madill, OK 73446-0831
Phone (571) 334-8992
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 28032 | FL | MD | Physical Therapist |
| 08457 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1184960940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 831",
"city": "MADILL",
"state": "OK",
"postal_code": "734460831",
"telephone_number": "571-334-8992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5860 COLLEGE RD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404314",
"telephone_number": "305-296-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "MICHELLE",
"middle_name": "KRISTINA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-26",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "08457",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 28032",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.