Individual provider Active NPI

Alexandra Gibson, PT, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1689393225
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302566 Issued in CA
Practice address
3959 Ruffin Rd Ste J
San Diego, CA 92123-1830
Phone
(858) 279-5570
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 302566 CA Primary

Addresses

Primary practice location

3959 Ruffin Rd Ste J
San Diego, CA 92123-1830

Mailing address

3959 Ruffin Rd Ste J
San Diego, CA 92123-1830
Phone (858) 279-5570

Other practice location 1

2732 Loker Ave W
Carlsbad, CA 92010-6603
Phone (760) 542-2414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902001957 CA Practitioner - Physical Therapist in Private Practice 1254715642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moti Physiotherapy IncGroup PAC ID 4587920426, 19 clinicians

Practice addresses (Care Compare)

1965 Hillhurst Ave
FL 1
Los Angeles, CA 90027-2711
Phone (323) 912-9166

5102 Wilshire Blvd
Suite F
Los Angeles, CA 90036-4313
Phone (323) 853-8898

Merit-based Incentive Payment System (MIPS)

Final score
74.62 of 100Reported as group
Quality
70
Improvement activities
40
Cost
70.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moti Physiotherapy, Inc. Physical Therapist CurrentSince Nov 11, 2023 Accepting new patients
Moti Physiotherapy, Inc. PastSince Oct 6, 2019 Accepting new patients

Locations

5102 Wilshire Blvd
Ste F
Los Angeles, CA 90036
Phone (323) 853-8898

1965 Hillhurst Ave
Fl 1
Los Angeles, CA 90027
Phone (323) 912-9166

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1689393225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 RUFFIN RD STE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231830",
            "telephone_number": "858-279-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 RUFFIN RD STE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231830",
            "telephone_number": "858-279-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2732 Loker Ave W",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920106603",
            "country_code": "US",
            "telephone_number": "760-542-2414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ALEXANDRA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.