Ginger Gibson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011193 Issued in OH

Practice address

118 Graceland Blvd Ste 327
Columbus, OH 43214-1530

Phone

(877) 967-5769

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• River Rock Rehabilitation, LLC

  • Physical Therapist
  • Marion, OH
  • NPI 1689894461
  NPD

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1790725422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 GRACELAND BLVD STE 327",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141530",
            "telephone_number": "312-399-4090",
            "fax_number": "877-967-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 GRACELAND BLVD STE 327",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141530",
            "telephone_number": "877-967-5769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 Woodley Rd.",
            "address_2": "Suite D.",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "43606",
            "country_code": "US",
            "telephone_number": "419-724-5580",
            "fax_number": "419-724-5581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GINGER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016321",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT011193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00624021",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1619980",
            "identifier": "BCBS OF IL",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD GROUP",
            "identifier": "CD3789",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace Gibson, LSW
• Cole Christopher Gibson, AA
• Dameisha Gibson, NURSE PRACTITIONER
• Delores Darlene Gibson
• Dreneq Gibson
• Hayden Scott Gibson
• Jaquan Lamont Gibson
• Jennifer Gibson, QMHS
• Jennifer N Gibson, MD
• Kamiah Gibson

• Physical Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.