Individual provider Active NPI

Geoffrey James Gibson, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Largo, FL
National Provider Identifier
1750476255
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS-0006669 Issued in FL
Practice address
2025 Indian Rocks Road
Largo, FL 33774-1096
Phone
(727) 430-5442
Fax
(727) 399-9392
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS-0006669 FL Primary

Addresses

Primary practice location

2025 Indian Rocks Road
Largo, FL 33774-1096

Mailing address

2025 Indian Rocks Road
Largo, FL 33774-1096
Phone (727) 430-5442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130529000350 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Osteopathic Manipulative Medicine 0840438198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Osteopathic Manipulative Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2025 Indian Rocks Rd S
Largo, FL 33774-1035
Phone (727) 581-9474

Hospital & facility affiliations

  • Largo Medical Center Inpatient rehabilitation facility, Largo, FL, CCN 10T248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS6669FLMDAnesthesiology Physician
OS-0006669FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ricky P. Lockett, D.O, PA CurrentSince Nov 10, 2018 Accepting new patients
Geoffrey J. Gibson DO PA Physical Medicine & Rehabilitation CurrentSince Apr 17, 2013 Accepting new patients

Locations

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

12440 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 592-4250

1501 5th Ave N
St Petersburg, FL 33705
Phone (727) 430-5442

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1750476255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 INDIAN ROCKS ROAD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741096",
            "telephone_number": "727-430-5442",
            "fax_number": "727-399-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 INDIAN ROCKS ROAD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741096",
            "telephone_number": "727-430-5442",
            "fax_number": "727-399-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GEOFFREY",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS-0006669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.