Madeline Elizabeth Gibson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7326 Issued in SC

Practice address

1800 2ND Loop Rd Ste 12
Florence, SC 29501-6180

Phone

(843) 407-5236

Fax

(843) 407-5810

NPI assigned

Aug 27, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1679307326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 BLUE HERON CIR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018489",
            "telephone_number": "843-409-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 2ND LOOP RD STE 12",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016180",
            "telephone_number": "843-407-5236",
            "fax_number": "843-407-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MADELINE",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH5894",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "7326",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Mark Gibbs, LPC MAC
• Jeffrey Gibbs
• Richardean Gibson Wingate, MLT
• H.P. Gibson, CRNA
• Kennedy Gibson
• Mary Gibson, RN
• Gifted Hands Care Clinic, LLC
• Tiffany Ann Gillard, FNP-C
• Medrina B Gilliam, DDS
• Alasha Gilliard

• Occupational Therapist in Florence, SC
• Providers in Florence, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.