Jeanette Gibson
Individual provider Active NPI Physical Therapist · Manchester, MO
NPI 1295795623 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1295795623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 13537 Barrett Parkway Dr
Ste 205
Manchester, MO 63021-5899 - Phone
- (314) 966-2273
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Babar Enterprises LLC | Physical Therapist | Past |
Accepting new patients |
| P2 Enterprises, LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
13537 Barrett Parkway Dr
Ste 205
Manchester, MO 63021-5899
Mailing address
5314 Hagemann Crossing Dr
Saint Louis, MO 63128-4268
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01686 | Other | MO | LICENSE # |
Other providers in Manchester, MO
- Juliana Fox
- Patrick Harmon Fox
- Charnetta Denise Leslie Frye
- Catherine Genthon
- David Michael George
- Payton Phillip Giesing
- Andrea Gilb
- Jasdeep Gill
- Danielle Glesne
- Tanja T Glosson
All providers in Manchester, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.