Gibbons Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5974 Issued in OR

Legal business name

GIBBONS PHYSICAL THERAPY

Practice address

10151 SE 100TH Dr
Happy Valley, OR 97086-7240

Phone

(503) 512-9140

NPI assigned

Jul 17, 2018

Organization subpart

No

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

Authorized official

Name

Susan Gibbons, DPT

Title

Owner/PT

Phone

(503) 512-9140

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1902382575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15505 NE 5TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986843376",
            "telephone_number": "503-512-9140",
            "fax_number": "503-912-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 SE 100TH DR",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867240",
            "telephone_number": "503-512-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBBONS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "503-512-9140",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "5974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gebi Dakebo Genemo, RN
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• Andrew Thomas Gentile, M.D.
• Gentle Hands Treatment Home LLC
• Karen Ghatore, DDS
• Sally J Gildehaus, PSYD
• Ruthaitip Hongyim Glaser
• Virginia Glaspey, LPC, CADC1, CCM
• Frederick Daniel Graf, CDPT
• Mary C Graham

• Physical Therapy Clinic/Center in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.