Samuel Marlin Gibson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1132587 Issued in TX

Practice address

610 N 8TH St
Suite 6
Gunter, TX 75058-3586

Phone

(903) 433-1401

Fax

(903) 433-1398

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Wellness and Therapy Solutions

  • Physical Therapy Clinic/Center
  • Gunter, TX
  • NPI 1568573301

  Physical Therapist

  NPD (past) Authorized official
• Humpal Physical Therapy, P.C.

  • Physical Therapist
  • Corpus Christi, TX
  • NPI 1871525287
  NPD

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1205936796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "GUNTER",
            "state": "TX",
            "postal_code": "750580247",
            "telephone_number": "903-433-1401",
            "fax_number": "903-433-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N 8TH ST",
            "address_2": "SUITE 6",
            "city": "GUNTER",
            "state": "TX",
            "postal_code": "750583586",
            "telephone_number": "903-433-1401",
            "fax_number": "903-433-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "SAMUEL",
        "middle_name": "MARLIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1132587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8T6765",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Care Centers, Inc
• Climb Health and Wellness, LLC
• Danielle Denise Friday, APRN
• Susan Lejane Gellinger, MS, CCC
• Jacquelyn Ward Gibson, OTR
• Gunter Chiropractic, PLLC
• Gunter Family Dental PLLC
• Gunter Family Medicine, PLLC
• Gunter Family Pharmacy LLC
• Gunter Family Pharmacy LLC

• All providers in Gunter, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.