Matthew Gibbons, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10389-024 Issued in WI

Practice address

W229N1416 Westwood Dr Ste 4
Waukesha, WI 53186-1309

Phone

(262) 349-9297

Fax

(262) 278-4062

NPI assigned

Nov 14, 2005

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NX Level Physical Therapy LLCGroup PAC ID 4385990092, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• NX Level Physical Therapy LLC

  dba Fyzical Therapy and Balance Waukesha

  • Physical Therapy Clinic/Center
  • Waukesha, WI
  • NPI 1972864155
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1659352938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W229N1416 WESTWOOD DR STE 4",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861309",
            "telephone_number": "262-349-9297",
            "fax_number": "262-278-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W229N1416 WESTWOOD DR STE 4",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861309",
            "telephone_number": "262-349-9297",
            "fax_number": "262-278-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10389-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE IND #",
            "identifier": "P00231054",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40455400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abraham Tekeher Getenet, M.D.
• Jamie Gfesser
• Anjoo M Gharia, DO
• Gi Specialists LLC (Moreland Endoscopy Center)
• Hayley Gibbon, RDH
• Deonte Alonzo Gibbs I, MN-CNL, PMHNP-BC
• Jennifer Gibbs, SAC-IT
• Catherine Gierszewski, LPC
• Breanna Gilbert, PHARM-D
• Elizabeth Ann Gilbert, RN

• Physical Therapist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.