Active NPI
Margaret Mary Gibson, MPT
- Physical Therapist
- Columbus, OH
National Provider Identifier
1790973683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008832
- Practice address
- 1504 W 1St Ave Ste 220
Columbus, OH 43212-3472 - Phone
- (614) 485-2347
- NPI assigned
- Oct 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | PT008832 | OH | Primary |
Addresses
Primary practice location
1504 W 1St Ave Ste 220
Columbus, OH 43212-3472
Mailing address
2977 Cordella St
Blacklick, OH 43004-7113
Phone (614) 367-0692
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 |
|---|---|---|---|
| PT008832 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Rehab, LLC | 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 and National Provider Directory roles.
-
- Home Health Agency
- Gahanna, OH
- NPI 1457433021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191456000000",
"number": "1790973683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2977 CORDELLA ST",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430047113",
"telephone_number": "614-367-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 W 1ST AVE STE 220",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432123472",
"telephone_number": "614-485-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "MARGARET",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-04",
"last_updated": "2007-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT008832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.