Individual provider Active NPI

Desiree Gibbs, PT

  • Physical Therapist
  • Skillman, NJ
National Provider Identifier
1386885937
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
50 Vreeland Dr
Building 50, Suite 4, Montgomery Professional Center
Skillman, NJ 08558-2639
Phone
(609) 924-6800
NPI assigned
Mar 11, 2009
Last updated
Dec 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

50 Vreeland Dr
Building 50, Suite 4, Montgomery Professional Center
Skillman, NJ 08558-2639

Mailing address

50 Vreeland Drive
Building 50, Suite 4, Montgomery Professional Center
Skillman, NJ 08558-1404
Phone (609) 924-6800

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

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1386885937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 VREELAND DRIVE",
            "address_2": "BUILDING 50, SUITE 4, MONTGOMERY PROFESSIONAL CENTER",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085581404",
            "telephone_number": "609-924-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 VREELAND DR",
            "address_2": "BUILDING 50, SUITE 4, MONTGOMERY PROFESSIONAL CENTER",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582639",
            "telephone_number": "609-924-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "DESIREE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.