Kiley Coleman Gibbs, PT, DPT, MA, PCS

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

26938 Issued in MD

Practice address

21631 Ridgetop Cir Ste 225a
Sterling, VA 20166

Phone

(240) 377-6179

NPI assigned

Sep 30, 2014

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kiley Coleman Gibbs Pediatric Physical Therapy

  dba KCG Pediatric Physical Therapy

  • Physical Therapy Clinic/Center
  • Sterling, VA
  • NPI 1427651843
  NPD Authorized official

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1912300377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19208 DEER PATH",
            "city": "KNOXVILLE",
            "state": "MD",
            "postal_code": "217581344",
            "telephone_number": "240-377-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21631 RIDGETOP CIR STE 225A",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "20166",
            "telephone_number": "240-377-6179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2964 Sarossy Lk",
            "address_purpose": "LOCATION",
            "city": "Grass Lake",
            "state": "MI",
            "postal_code": "492409455",
            "country_code": "US",
            "telephone_number": "240-377-6179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "KILEY",
        "middle_name": "COLEMAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MA, PCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305211529",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MD",
            "license": "26938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasnim Gharieb
• Fithawit Mulugeta Ghebru, FNP
• Gi Endoscopy Center of Northern Virginia (Sterling Endoscopy Center)
• Giant of Maryland LLC (Giant Pharmacy 762)
• Giant of Maryland LLC (Giant Pharmacy 794)
• Alex J Gibson, PSYD
• Maureen Anne Gill, LCSW
• Elizebeth Gilliland, BCBA
• Morgan Elyse Gillum, OTR
• Bassem Girgis, PHARMD

• Pediatric Physical Therapist in Sterling, VA
• Providers in Sterling, VA by specialty
• Pediatric Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.