Jennifer M Gibbs, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3255 Issued in OR

Practice address

1931 NW Mulholland Dr
Roseburg, OR 97470

Phone

(541) 672-5795

Fax

(423) 602-2028

NPI assigned

Dec 23, 2009

Last updated

Apr 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Achieve Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Roseburg, OR
  • NPI 1194095232
  Authorized official Same address or phone
• Audiology Consultants of Southern Oregon, Inc.

  • Audiologist
  • Roseburg, OR
  • NPI 1003009325
  NPD (past)
• Cottage Grove Physical Therapy Services, Inc

  • Physical Therapist
  • Cottage Grove, OR
  • NPI 1407847999
  NPD (past)
• Avamere Outpatient Services, LLC

  dba Northshore Physical Therapy

  • Physical Therapist
  • Bothell, WA
  • NPI 1710151311
  NPD (past)

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1427387380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 TYEE RD",
            "city": "UMPQUA",
            "state": "OR",
            "postal_code": "974869723",
            "telephone_number": "541-817-6848",
            "fax_number": "541-767-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 NW MULHOLLAND DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97470",
            "telephone_number": "541-672-5795",
            "fax_number": "423-602-2028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 Hubbard Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Umpqua",
            "state": "OR",
            "postal_code": "974869602",
            "country_code": "US",
            "telephone_number": "541-817-6848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3255",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gi Associates, PC
• Gi Endoscopy Center, Inc (GI Endoscopy Center)
• Tiffany D Giamanco
• Emily Gibbons
• Bailey Wynn Gibbs, PA-C
• Delbert Gibson III
• Elizabeth Giele
• Donald Dale Gilbert, CADC I
• Kimberly Jeanne Gilbert, MBA
• Chelsea Gillespie-Towne, NP

• Physical Therapist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.