John Allen Gibson, BA

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Practice address

1552 Beal Rd
Mansfield, OH 44903-9169

Phone

(419) 566-0687

NPI assigned

Aug 31, 2021

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

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1750059176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 BEAL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449039169",
            "telephone_number": "419-566-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 BEAL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449039169",
            "telephone_number": "419-566-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JOHN",
        "middle_name": "ALLEN",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Geyer, APRN-CNP
• Cristina Diana Ghinda, MD, PHD
• Jalen Reese Gibbs
• Branden Gibson
• Corenda Gibson
• Lawrence L Gibson, MD
• Leah Gibson
• Rylea Gibson
• Tanya C Gibson, LPN
• Tricia Elaine Giddens, R.N.

• Recreation Therapist in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Recreation Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.