Andrew Gibson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-022821 Issued in IL

Practice address

850 43Rd Ave
Suite 100
Moline, IL 61265-8401

Phone

(309) 743-2070

Fax

(309) 743-2073

NPI assigned

Jan 18, 2017

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

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Iowa, RJ & L Carver College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hometown Physical Therapy Holding Company LLCGroup PAC ID 7214170893, 12 clinicians

Practice addresses (Care Compare)

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.

• Hometown Physical Therapy Holding Company LLC

  • Physical Therapist
  • Milford, IA
  • NPI 1861836454
  Medicare reassignment Care Compare group NPD
• Integrated Therapy Services LLC

  • Physical Therapist
  • Des Moines, IA
  • NPI 1730597030
  Medicare reassignment NPD
• Hometown Physical Therapy Holding Company LLC

  • Physical Therapist
  • Des Moines, IA
  • NPI 1952283947
  NPD

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1336685015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE",
            "address_2": "SUITE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070",
            "fax_number": "309-743-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 43RD AVE",
            "address_2": "SUITE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070",
            "fax_number": "309-743-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-022821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genventures, Inc.
• Genventures, Inc.
• Maged Ghoprial, M.D
• Amita Ghosh, MD
• Gi Pathology LLC
• Dana Gibson, ARNP
• Lindsey Rae Gidel, OTD, OTR/L
• Shannon Rose Gier, LMFT
• McKenzie Kay Gilbert
• Sonja Gilbertson

• Physical Therapist in Moline, IL
• Providers in Moline, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.