Individual provider Active NPI

Troy Dale Gibson, MS, OTR, CHT

  • Hand Occupational Therapist
  • Buffalo, NY
National Provider Identifier
1275864043
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
012092-1 Issued in NY
Practice address
5144 Sheridan Drive
Suite 2
Buffalo, NY 14221-4653
Phone
(716) 631-5224
Fax
(716) 631-5626
NPI assigned
Jan 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 012092-1 NY Primary

Addresses

Primary practice location

5144 Sheridan Drive
Suite 2
Buffalo, NY 14221-4653

Mailing address

5144 Sheridan Drive
Suite 2
Buffalo, NY 14221-4653
Phone (716) 631-5224

Other practice location 1

4535 Southwestern Blvd
Hamburg, NY 14075-1860
Phone (716) 631-5224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000126 NY Practitioner - Occupational Therapist in Private Practice 0042484677 Reassigns benefits to 1 organization
Practice locations: Buffalo, NY

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand and Rehabilitation Specialists OT PT SLP PLLCGroup PAC ID 0143475368, 3 clinicians

Practice addresses (Care Compare)

5144 Sheridan Dr
Suite 2
Williamsville, NY 14221-4653
Phone (716) 631-5224

Merit-based Incentive Payment System (MIPS)

Final score
89.01 of 100Reported as group
Quality
78.02
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
012092-1NYMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand & Rehabilitation Specialists OT PT SLP PLLC Hand CurrentSince Jul 6, 2012 Accepting new patients

Locations

5144 Sheridan Dr
Ste 2
Williamsville, NY 14221
Phone (716) 631-5224

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1275864043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5144 SHERIDAN DRIVE",
            "address_2": "SUITE 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142214653",
            "telephone_number": "716-631-5224",
            "fax_number": "716-631-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 SHERIDAN DRIVE",
            "address_2": "SUITE 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142214653",
            "telephone_number": "716-631-5224",
            "fax_number": "716-631-5626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4535 Southwestern Blvd",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140751860",
            "country_code": "US",
            "telephone_number": "716-631-5224",
            "fax_number": "716-631-5626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TROY",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "MS, OTR, CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-19",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "012092-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.