Jeffrey Benjamin Gibbs

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

002267 Issued in WV

Practice address

1000 Lincoln Dr
South Charleston, WV 25309-2304

Phone

(304) 768-4400

NPI assigned

Jul 19, 2018

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1730666066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 MADISON AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257042537",
            "telephone_number": "603-913-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN DR",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253092304",
            "telephone_number": "304-768-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "JEFFREY",
        "middle_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "002267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lin Nicole Gessel
• Ghareeb and Ghareeb, DDS, PC
• Steven Ghareeb, DDS
• Elie G Gharib, MD
• Suzanne Lee Gharib, MD
• Richard Ashley Gibbs, RN
• Erica Adair Gibson, DC, ATC
• Hannah Gibson
• Jessica Gibson
• Leo Berman Gibson Jr., RETIRED

• Physical Therapy Assistant in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.