Jennie Gibson, OTR/L, CSRS, CNS

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

OTH-008529 Issued in AZ

Practice address

3875 E Williams Field Rd Ste 201
Gilbert, AZ 85295-8700

Phone

(480) 704-5954

NPI assigned

May 9, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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.

• Advanced Neurologic Rehabilitation

  • Rehabilitation Clinic/Center
  • Gilbert, AZ
  • NPI 1518688746
  NPD
• Desert Valley Pediatric Therapy

  • Specialist
  • Phoenix, AZ
  • NPI 1528209830
  NPD (past)

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1376289751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S PEPPERTREE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963208",
            "telephone_number": "334-559-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 E WILLIAMS FIELD RD STE 201",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958700",
            "telephone_number": "480-704-5954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3961 E Guadalupe Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852343266",
            "country_code": "US",
            "telephone_number": "480-699-4845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "478 Opelika Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368303906",
            "country_code": "US",
            "telephone_number": "334-610-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JENNIE",
        "credential": "OTR/L, CSRS, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "AZ",
            "license": "OTH-008529",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "4698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Junius Gibbons, D.D.S.
• Junius Nephi Gibbons, D.D.S.
• Melissa Gibbons, ND, MSM
• Cori Gibson
• Hanna Gibson
• Tianna Gibson
• Samuel Gichuki
• Gifford Health Institute Corp
• Gigatt, Personal Care Assistance
• Joshua Dalton Giguere, MA, BCBA, LBA

• Neurorehabilitation Occupational Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Neurorehabilitation Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.