Ashley L Gibbons, PT
Individual provider Active NPI Physical Therapist · Joliet, IL
NPI 1760536668 · NPPES record last updated Jan 31, 2011
Key facts
- NPI
- 1760536668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070014498 (IL)
- Practice address
- 600 Theodore St
Suite 6
Joliet, IL 60435-2443 - Phone
- (815) 724-0835
- Fax
- (815) 724-0845
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070014498 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentle Hands Chiropractic, PC | Past | Accepting new patients | |
| Advanced Rehabilitation Clinics, Inc | Physical Therapist | Past | Accepting new patients |
| First Venture Rehabilitation Clinics, LLC | Past |
Accepting new patients | |
| Accelerated Rehabilitation Centers LTD | Physical Therapist | Past | Accepting new patients |
| Elite Rehabilitation Institute Braidwood LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070014498 | IL | Yes |
Addresses
Primary practice location
600 Theodore St
Suite 6
Joliet, IL 60435-2443
Mailing address
600 Theodore St
Suite 6
Joliet, IL 60435-2443
Phone (815) 724-0835
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619980 | Other | IL | BCBS OF IL |
Other providers in Joliet, IL
- Germane Nephrology Associates
- Scott L Getsoian
- Lauren Michele Ghee
- Joseph Giancarlo
- Anthony M Gianpetro
- Michelle Gibbons
- Amy S Giefer
- Sara M Gilbert
- Laura Gillespie
- David J Gilmore
All providers in Joliet, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.