Gerald C Fitzgibbon

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11030 Issued in NC

Practice address

105 N 5TH Ave
Madill, OK 73446-1200

Phone

(580) 795-3301

Fax

(580) 795-7307

NPI assigned

Aug 14, 2009

Last updated

Aug 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard Fowler PT IncGroup PAC ID 0941283311, 8 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard Fowler, PT, Inc.

  dba Gentle Pain Release

  • Physical Therapist
  • Hendersonville, NC
  • NPI 1144271305
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1659503340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15294",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288130294",
            "telephone_number": "828-698-3489",
            "fax_number": "828-698-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N 5TH AVE",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734461200",
            "telephone_number": "580-795-3301",
            "fax_number": "580-795-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGIBBON",
        "first_name": "GERALD",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-14",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer B Elise, M.S., L.B.P.
• Tonya Eppeland
• Breann N Eppler, BHRS
• Heather M Farmer, BSRS
• Susannah Renee Farris
• Marlo Flournoy
• Treva Kay Gage
• Carol Hefler Gay, PHYSICIAN ASSISTANT
• Darin Neil Goldsmith
• Shannon Beth Goodwin Chambers, MD

• Physical Therapist in Madill, OK
• Providers in Madill, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.