Individual provider Active NPI

Alyssa Gibbs, DPT

  • Physical Therapist
  • Newark, NY
National Provider Identifier
1639055593
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054803 Issued in NY
Practice address
513 W Union St Ste 254
Newark, NY 14513-1370
Phone
(315) 331-3784
Fax
(315) 331-4667
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 054803 NY Primary

Addresses

Primary practice location

513 W Union St Ste 254
Newark, NY 14513-1370

Mailing address

513 W Union St Ste 254
Newark, NY 14513-1370
Phone (315) 331-3784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826004386 NY Practitioner - Physical Therapist in Private Practice 1658871264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shuman Physical Therapy Associates PCGroup PAC ID 6709869209, 142 clinicians

Practice addresses (Care Compare)

513 W Union St
Suite 254
Newark, NY 14513-1370
Phone (315) 331-3784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054803NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shuman Physical Therapy Associates, P.C. Physical Therapist CurrentSince Aug 13, 2025 Accepting new patients
Brownstone Physical Therapy, P.C. PastSince Aug 13, 2025 Accepting new patients

Locations

513 W Union St
Ste 254
Newark, NY 14513
Phone (315) 331-3784

1655 Elmwood Ave
Ste 130
Rochester, NY 14620
Phone (585) 442-9110

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1639055593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 W UNION ST STE 254",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131370",
            "telephone_number": "315-331-3784",
            "fax_number": "315-331-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W UNION ST STE 254",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131370",
            "telephone_number": "315-331-3784",
            "fax_number": "315-331-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "ALYSSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.