Active NPI
Rose Gibbs
- Athletic Trainer
- Wellington, FL
National Provider Identifier
1588490130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RTO000633
- Practice address
- 13801 Exotica LN
Wellington, FL 33414-8134 - Phone
- (561) 906-7673
- NPI assigned
- Sep 10, 2024
- Last updated
- Sep 4, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | RTO000633 | PA | Primary |
Addresses
Primary practice location
13801 Exotica LN
Wellington, FL 33414-8134
Mailing address
13801 Exotica LN
Wellington, FL 33414-8134
Phone (561) 906-7673
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RTO000633 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1588490130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13801 EXOTICA LN",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148134",
"telephone_number": "561-906-7673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 EXOTICA LN",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148134",
"telephone_number": "561-906-7673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-10",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RTO000633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.