Gibsauna LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GIBSAUNA LLC

Practice address

425 Pleasant St Lowr Level
Brockton, MA 02301-2533

Phone

(617) 953-4097

Fax

(508) 559-5134

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Gibsonalexis A Akoh

Title

President

Phone

(617) 953-4097

Specialties & licenses 5

Addresses

Other names 2

• Gibbs Physical Therapy Doing business as
• Gibsauna Physical Therapy and Rehabilitation Services Doing business as

Locations

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1669911251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WESTFIELD DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014558",
            "telephone_number": "617-953-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PLEASANT ST LOWR LEVEL",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012533",
            "telephone_number": "617-953-4097",
            "fax_number": "508-559-5134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Westfield Dr",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023014558",
            "country_code": "US",
            "telephone_number": "617-953-4097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "318 Blue Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021211954",
            "country_code": "US",
            "telephone_number": "617-427-4611",
            "fax_number": "617-427-4622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GIBSAUNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "AKOH",
        "authorized_official_first_name": "GIBSONALEXIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-953-4097"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibbs Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gibsauna Physical Therapy and Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gibsauna Physical Therapy and Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniella Giardina, MD
• Nicole Giardino, LICSW
• Euclides Barros Gibau
• Jennifer Gibney, CEIS
• Gibsauna Group Inc
• Jasmine Gibson, MD, MSC
• Jeremiah Gibson
• Michelle Gibson, CNP
• Marcia Giella
• Renee Lemoine Giese

• Health Service Clinic/Center in Brockton, MA
• Providers in Brockton, MA by specialty
• Health Service Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.