Active NPI
Alyssa J Gibbs, P.T.
- Physical Therapist
- Watertown, NY
National Provider Identifier
1366608846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030437-1
- Practice address
- 1571 Washington St
Suite 201
Watertown, NY 13601-9304 - Phone
- (315) 782-1650
- NPI assigned
- Aug 4, 2008
- Sex
- Female
- 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 | 030437-1 | NY | Primary |
Addresses
Primary practice location
1571 Washington St
Suite 201
Watertown, NY 13601-9304
Mailing address
1571 Washington St
Suite 201
Watertown, NY 13601-9304
Phone (315) 782-1650
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030437-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claxton-Hepburn Medical Center | Past | Accepting new patients |
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.
-
- Psychiatric Hospital Unit
- Ogdensburg, NY
- NPI 1346301389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1366608846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1571 WASHINGTON ST",
"address_2": "SUITE 201",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136019304",
"telephone_number": "315-782-1650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1571 WASHINGTON ST",
"address_2": "SUITE 201",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136019304",
"telephone_number": "315-782-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "ALYSSA",
"middle_name": "J",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030437-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.