Active NPI
Eric Gibbs, DPT
- Physical Therapist
- Mentor, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020739
- Practice address
- 8836 Tyler Blvd
Mentor, OH 44060-4361 - Phone
- (440) 255-9553
- NPI assigned
- Sep 18, 2023
- 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 Therapist | 225100000X | PT020739 | OH | Primary |
Addresses
Primary practice location
8836 Tyler Blvd
Mentor, OH 44060-4361
Mailing address
PO Box 392573
Pittsburgh, PA 15251-9573
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of Ny Upstate Medical University, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
300 Allen Bradley Dr
Suite 200
Mayfield Heights, OH 44124-6130
Phone (844) 746-8537
6534 Anthony Dr
Suite C
Victor, NY 14564-1421
Phone (585) 869-5140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Orthopedic and Spine Institute, LLC | Current | Accepting new patients |
Locations
3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226
300 Allen Bradley Dr
Ste 200
Mayfield Heights, OH 44124
Phone (407) 307-7652
Organizations & group practices 2
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.
-
- Clinic/Center
- Mayfield Heights, OH
- NPI 1033988928
-
- Physical Therapy Clinic/Center
- Victor, NY
- NPI 1154688281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1881472249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392573",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152519573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8836 TYLER BLVD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604361",
"telephone_number": "440-255-9553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "ERIC",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-18",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT020739",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.