Mary C Gibbons, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004091 Issued in CT

Practice address

75 Great Pond Rd
Simsbury, CT 06070-1980

Phone

(860) 658-3745

NPI assigned

Aug 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• McLean Health Center

  • Physical Therapy Clinic/Center
  • Simsbury, CT
  • NPI 1669676599
  NPD (past) Authorized official

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1497911622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 GREAT POND RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701525",
            "telephone_number": "860-651-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GREAT POND RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701980",
            "telephone_number": "860-658-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Fitch, D.C.
• Sarah Folsom, MT-BC
• Fred Gabrielle, MD
• Sarah Jean Gamble, PH.D.
• Gregory Ganci, LCSW
• Destiny Gillman, LMFT
• Valerie Goulet, LMFT
• Governors House Simsbury Opco LLC
• April L Graves, COTA/L
• Patricia Gray

• Physical Therapist in Simsbury, CT
• Providers in Simsbury, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.