Active NPI
Koskie Gibson
- Occupational Therapist
- Chapin, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2672
- Practice address
- 130 Amicks Ferry Rd Ste G
Chapin, SC 29036-9400 - Phone
- (803) 932-2176
- NPI assigned
- Aug 1, 2006
- Last updated
- Oct 31, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2672 | SC | Primary |
Addresses
Primary practice location
130 Amicks Ferry Rd Ste G
Chapin, SC 29036-9400
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
105 Physicians Park Dr
Clinton, SC 29325-7551
Phone (864) 938-0111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Medical University of South Carolina College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Amicks Ferry Rd
Suite G
Chapin, SC 29036-9400
Phone (803) 932-2176
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2672 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy - South Carolina, LLC | Occupational Therapist | Current | Accepting new patients |
| Benchmark Health Services | Occupational Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Occupational Therapist | Current | Accepting new patients |
| Palmetto Bone and Joint | Occupational Therapist | Current | Accepting new patients |
| Benchmark Healthcare Services, LLC | Occupational Therapist | Current | Accepting new patients |
| Drayer Physical Therapy-South Carolina, LLC | Occupational Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Occupational Therapist | Current | Accepting new patients |
| Ats Kids LLC | Occupational Therapist | Past | Accepting new patients |
| Advanced Therapy Solutions, Inc. | Occupational Therapist | Past | Accepting new patients |
| Advanced Therapy Solutions, Inc. | Occupational Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
130 Amicks Ferry Rd
#G
Chapin, SC 29036
Phone (803) 932-2176
105 Physicians Park Dr
Clinton, SC 29325
Phone 864583005328
22971 Highway 76 E
Clinton, SC 29325
Phone (803) 833-3046
1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058
7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031
2704 Kinard St
Newberry, SC 29108
Phone (803) 321-6254
3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Columbia, SC
- NPI 1841622354
Occupational Therapist
-
- Orthopaedic Surgery Physician
- Newberry, SC
- NPI 1720295793
Occupational Therapist
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
Occupational Therapist, SC
-
- Physical Therapist
- Ooltewah, TN
- NPI 1811213341
Occupational Therapist, SC
-
- Physical Therapist
- Camden, SC
- NPI 1154816833
Occupational Therapist
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1518695436
Occupational Therapist
-
- Physical Therapist
- Spartanburg, SC
- NPI 1235197914
Occupational Therapist
-
- Physical Therapist
- Spartanburg, SC
- NPI 1700055415
Occupational Therapist
-
- Occupational Therapist
- Spartanburg, SC
- NPI 1053204198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1225045503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 AMICKS FERRY RD STE G",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290369400",
"telephone_number": "803-932-2176"
}
],
"practiceLocations": [
{
"address_1": "105 Physicians Park Dr",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "SC",
"postal_code": "293257551",
"country_code": "US",
"telephone_number": "864-938-0111",
"fax_number": "864-938-0811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBSON",
"first_name": "KOSKIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "2672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.