Active NPI
Brendan J. Gibbs, P.T.A.
- Physical Therapy Assistant
- Sunnyvale, CA
National Provider Identifier
1760544738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT 8151
- Practice address
- 1309 S. Mary Ave.
Suite 100
Sunnyvale, CA 94087 - Phone
- (408) 733-0400
- Fax
- (408) 733-4388
- NPI assigned
- Dec 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT 8151 | CA | Primary |
Addresses
Primary practice location
1309 S. Mary Ave.
Suite 100
Sunnyvale, CA 94087
Mailing address
P.O. Box 2226
El Granada, CA 94018
Phone (650) 218-9963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 8151 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Now Medical Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Sunnyvale, CA
- NPI 1073674479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760544738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2226",
"city": "EL GRANADA",
"state": "CA",
"postal_code": "94018",
"telephone_number": "650-218-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 S. MARY AVE.",
"address_2": "SUITE 100",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "94087",
"telephone_number": "408-733-0400",
"fax_number": "408-733-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "BRENDAN",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT 8151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.