Stephen Gibson

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

520 S 19TH St
Philadelphia, PA 19146-1449

Phone

(215) 731-1449

Fax

(215) 731-1345

NPI assigned

Jul 20, 2023

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 PA

Enrollment records 1

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.

• Zarett Rehab Associates P.C.

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1770539165
  Medicare reassignment NPD

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1376223834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S 19TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461449",
            "telephone_number": "215-731-1449",
            "fax_number": "215-731-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 19TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461449",
            "telephone_number": "215-731-1449",
            "fax_number": "215-731-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muareen Elizabeth Gibson, MSPT
• Nora Marie Gibson
• Pamela Gibson
• Sarah Gibson, IBCLC
• Shana Gibson
• Troy Gibson
• Susan Gichomo
• Lisa Gidaro, CRNA
• Marco A Gidaro, MD
• Arianna Giebink, MD

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.