Active NPI
Tyler Montana Gibbs, DPT
- Physical Therapist
- Frankfort, KY
National Provider Identifier
1609421023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007739
- Practice address
- 1004 Leawood Dr
Frankfort, KY 40601-3349 - Phone
- (502) 223-7403
- Fax
- (502) 223-5016
- NPI assigned
- Aug 2, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007739 | KY | Primary |
Addresses
Primary practice location
1004 Leawood Dr
Frankfort, KY 40601-3349
Mailing address
1004 Leawood Dr
Frankfort, KY 40601-3349
Phone (502) 223-7403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007739 | Other | KY | KENTUCKY BOARD OF PHYSICAL THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Care PLC | Physical Therapist | Current | Accepting new patients |
| Proactive Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Central Kentucky Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
1004 Leawood Dr
Frankfort, KY 40601
Phone (502) 223-7403
1100 Glensboro Rd
Ste 1
Lawrenceburg, KY 40342
Phone (502) 223-7403
Organizations & group practices 3
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 Therapist
- Lawrenceburg, KY
- NPI 1912946989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1609421023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 LEAWOOD DR",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406013349",
"telephone_number": "502-223-7403",
"fax_number": "502-223-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 LEAWOOD DR",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406013349",
"telephone_number": "502-223-7403",
"fax_number": "502-223-5016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "TYLER",
"middle_name": "MONTANA",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-02",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF PHYSICAL THERAPY",
"identifier": "007739",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.