Active NPI
Thomas Allen Gibbs
- Physical Therapist
- Jamestown, NY
National Provider Identifier
1497830970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025941
- Practice address
- 15 S Main St
Suite 220
Jamestown, NY 14701-6626 - Phone
- (716) 488-2322
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017025 | PA | |
| Physical Therapist | 225100000X | PT025941 | NY | Primary |
Addresses
Primary practice location
15 S Main St
Suite 220
Jamestown, NY 14701-6626
Mailing address
1367 Swede Road
Ashville, NY 14710
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT025941 | NY | MD | Physical Therapist |
| PT017025 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twintier Physical Rehab, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Bradford, PA
- NPI 1780612440
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1497830970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1367 SWEDE ROAD",
"city": "ASHVILLE",
"state": "NY",
"postal_code": "14710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 S MAIN ST",
"address_2": "SUITE 220",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147016626",
"telephone_number": "716-488-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "THOMAS",
"middle_name": "ALLEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT017025",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "PT025941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.