Marylynn Gibson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015884 Issued in PA

Practice address

1113 Easton Rd
Willow Grove, PA 19090-1901

Phone

(215) 659-3060

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sierra Therapy Services, Inc.

  • Physical Therapist
  • Stone Mountain, GA
  • NPI 1083643449
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659495125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5058 RAINTREE CT",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189016206",
            "telephone_number": "215-348-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901901",
            "telephone_number": "215-659-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MARYLYNN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GCSF OBGYN Assoc
• Feba Geevarghese, P.A.
• Genesis Rehab Services
• Victor Elias Ghantous, M.D
• Anrhony E Giannetti, DMD
• Caryn Gill
• Barbara S Ginn, PA-C
• Peter J Gkonos, MD
• Teresa Ann Glatthorn, PSY.D.
• Ernest Glazer, LCSW

• Physical Therapist in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.