Michael George Gibbs, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P16009 Issued in NC

Practice address

2828 Maplewood Ave
Suite a
Winston Salem, NC 27103-4138

Phone

(336) 765-4703

Fax

(336) 765-1396

NPI assigned

Apr 4, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Nor-Alaska Physical Therapy, LLC

  • Physical Therapist
  • Eagle River, AK
  • NPI 1326586348
  NPD
• Austin-Caputo Physical Therapy Services, Inc.

  • Physical Therapist
  • Winston Salem, NC
  • NPI 1235175340
  NPD (past)
• Breakthrough Physical Therapy

  • Physical Therapist
  • Morehead City, NC
  • NPI 1083937692
  NPD (past)

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1437492865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 W 6TH ST APT B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012534",
            "telephone_number": "336-765-4703",
            "fax_number": "336-765-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 MAPLEWOOD AVE",
            "address_2": "SUITE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034138",
            "telephone_number": "336-765-4703",
            "fax_number": "336-765-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSEE",
            "identifier": "P16009",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith A Gibbons, PHD
• Latoya Doneill Gibbs-Morris, FNP
• James Samuel Gibbs, MD
• Kevin Gibbs
• Liam Gibbs
• Wade Gibbs, R.PH.
• Deidre Gibson
• Demetra S. Gibson, M.D.
• John Heyl Gibson, M.D.
• Kathleen Gibson, MD

• Physical Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.