Benjamin Michael Gilbert, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2071416 Issued in TX

Practice address

3745 Summer Crest Dr
San Angelo, TX 76901-9782

Phone

(325) 942-7700

NPI assigned

Aug 18, 2018

Last updated

Aug 18, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534550400000",
    "number": "1528548500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 SUMMER CREST DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769019782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 SUMMER CREST DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769019782",
            "telephone_number": "325-942-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 N Main St",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769034077",
            "country_code": "US",
            "telephone_number": "325-655-7391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-18",
        "last_updated": "2018-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2071416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Joy Gibbs, FNP-BC
• David Earl Giddings, LPC
• Jerry K Gideon, MD
• Victor H Gil, MD
• Zelik Abiel Gil, DO, RN, BSN
• Joy Margaret Gilbert, OTR
• Zachary Ginnings, PT
• Jonathan S Gipson, MD
• Jamee Girsch, BCBA
• Bella Angelica Glass

• Physical Therapy Assistant in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2018; 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.