New Age Therapies PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NEW AGE THERAPIES PLLC

Practice address

2712 S 25TH St Ste 4
Clinton, IA 52732-7249

Phone

(309) 525-1183

NPI assigned

Jan 17, 2025

Organization subpart

No

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

Authorized official

Name

Michael Gibson, P.TNPI 1447563663

Title

Owner

Phone

(309) 525-1183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Philip Gibson, DPT

  • Physical Therapist
  • Clinton, IA
  • NPI 1447563663
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1306657333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 S 25TH ST STE 4",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327249",
            "telephone_number": "309-525-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 S 25TH ST STE 4",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327249",
            "telephone_number": "309-525-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE THERAPIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-525-1183",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Neeley
• Elizabeth Neels
• Deena Nehring, R.N., L.M.T., C.HLC
• Erica Christine Nelson, CD, PCD, CLC
• Neuropsychiatric Medicine Clinic PLLC
• New Moon Counseling PLLC
• William A Nickles, D.P.M.
• Colleen L Nielsen, OTR/L
• Stacea Nielsen
• James M Norman, PT

• Physical Therapist in Clinton, IA
• Providers in Clinton, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.