Elizabeth McGibbons

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA19514 Issued in FL

Practice address

4203 SE Federal Hwy Ste 102
Stuart, FL 34997-4925

Phone

(772) 223-3440

NPI assigned

Apr 2, 2012

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

Other identifiers 1

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.

• Gina'S Physical Therapy, Inc

  • Physical Therapist
  • Stuart, FL
  • NPI 1023298437
  NPD (past)

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1598031718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 SW COMFORT ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 SE FEDERAL HWY STE 102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349974925",
            "telephone_number": "772-223-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGIBBONS",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA19514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "19514",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea N McGannon, PA-C
• James David McGee III, MD
• Jessica McGee
• Samantha McGee
• Tristen McGeough
• Katherine Fallon McGill, BA
• Laura McGill
• Eileen T McGlynn, M. D.
• Petrina McGowen, LMFT, RDT
• Michail McGregor

• Physical Therapy Assistant in Stuart, FL
• Providers in Stuart, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.