Active NPI
Stacey Gibson
- Physical Therapist
- Weatherford, TX
National Provider Identifier
1376186205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1323240
- Practice address
- 700 S Bowie Dr
Weatherford, TX 76086-5140 - Phone
- (817) 594-2715
- NPI assigned
- Oct 23, 2019
- 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 | 1323240 | TX | Primary |
Addresses
Primary practice location
700 S Bowie Dr
Weatherford, TX 76086-5140
Mailing address
145 Links LN
Aledo, TX 76008-6917
Phone (817) 223-0540
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 |
|---|---|---|---|
| 1323240 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1376186205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 LINKS LN",
"city": "ALEDO",
"state": "TX",
"postal_code": "760086917",
"telephone_number": "817-223-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S BOWIE DR",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865140",
"telephone_number": "817-594-2715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "STACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1323240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.