Active NPI
Matthew I Gibbs
- Physical Therapist
- Orangeburg, SC
National Provider Identifier
1356819700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.9197
- Practice address
- 1704 Village Park Dr
Orangeburg, SC 29118-2401 - Phone
- (803) 534-2022
- NPI assigned
- Nov 4, 2018
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT.9197 | SC | Primary |
Addresses
Primary practice location
1704 Village Park Dr
Orangeburg, SC 29118-2401
Mailing address
2006 Chester Ave
Wellsville, OH 43968-1031
Phone (330) 383-6256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT.9197 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541289600000",
"number": "1356819700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 CHESTER AVE",
"city": "WELLSVILLE",
"state": "OH",
"postal_code": "439681031",
"telephone_number": "330-383-6256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 VILLAGE PARK DR",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291182401",
"telephone_number": "803-534-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "MATTHEW",
"middle_name": "I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-04",
"last_updated": "2018-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "PT.9197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, SC
- GCG Staffing, Inc. (Affordable In-Home Care)
- Laura A Gearheart, MA CCC SLP
- Marie Louise Gehling, NP-C
- George E Castro (Carolina Heart Center)
- Sonya R George, D.C.
- Cheryl Renee Gibson-Dalton, PRESIDENT AND CEO
- Hope H Gibson, APRN
- Kendall Maree Gibson, MA
- David W Gillespie, MD
- Melissa Monique Gillespie
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.