Elizabeth Josephine Gibbons, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11496 Issued in MN

Practice address

2119 Cliff Rd
Eagan, MN 55122-2345

Phone

(651) 688-7500

Fax

(763) 260-7653

NPI assigned

Aug 8, 2019

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 names 1

• Elizabeth Jo Camber Former name

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: egibbons332887@excellian.direct.allina.com

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.

• Minnesota Luna Care Physical Therapy LLC

  • Physical Therapist
  • Saint Paul, MN
  • NPI 1780288134
  Medicare reassignment NPD
• Allina Health System

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1467758813
  NPD (past)

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1629623426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 OPUS PKWY STE 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439058",
            "telephone_number": "952-300-3493",
            "fax_number": "763-260-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 CLIFF RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222345",
            "telephone_number": "651-688-7500",
            "fax_number": "763-260-7653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 6th St E",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551011911",
            "country_code": "US",
            "telephone_number": "952-222-5769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 Arcade St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551063800",
            "country_code": "US",
            "telephone_number": "952-222-5769",
            "fax_number": "763-260-7653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "ELIZABETH",
        "middle_name": "JOSEPHINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CAMBER",
            "middle_name": "JO",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick Geraghty, MSE, LP
• Jessica Ellen Gerhan, MA, LPCC
• Emily Ann Gerlich
• Erica Elizabeth Gerrity, LICSW
• Cara Christine Snede Gessell
• Ameshia Gibson, FNP-C
• Kendall Rae Gillum
• Gilman Chiropractic PA
• Philip G Gilman, DC
• Jamie Lynn Gilmore, RBT

• Physical Therapist in Eagan, MN
• Providers in Eagan, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.

Verify at the official NPI Registry.