Kristin Raye Gibson, PT, CLT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

83 Issued in OK

Practice address

301 S Bryant Ave
BLDG. B-100
Edmond, OK 73034-5790

Phone

(405) 340-2019

Fax

(405) 340-4635

NPI assigned

May 22, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811106933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 HERITAGE BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032764",
            "telephone_number": "405-340-2019",
            "fax_number": "405-340-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S BRYANT AVE",
            "address_2": "BLDG. B-100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345790",
            "telephone_number": "405-340-2019",
            "fax_number": "405-340-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KRISTIN",
        "middle_name": "RAYE",
        "name_prefix": "Mr.",
        "credential": "PT, CLT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "1487",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ghigliotti
• Gi Doc PLLC
• Brenna Giannini
• Ashleigh Gibson, MA, LPC
• Cierra Denee Gibson
• Alton D. Giese
• Emily Giese
• Carl J Gilbert, MD
• John Mark Gilchrist, M.D.
• Lee Gile, D.PH.

• Athletic Trainer in Edmond, OK
• Providers in Edmond, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.