Laura A Gibbons, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01287100 Issued in NJ

Practice address

122 Branch Blvd
Brick, NJ 08724-1822

Phone

(908) 627-3033

Fax

(631) 580-5222

NPI assigned

Apr 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Laura A Iden Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Dynamic Movement Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Brick, NJ
  • NPI 1295327740

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Sportscare of America, PC

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1851484380
  Medicare reassignment NPD
• Trinity Rehab Somerset PA

  • Physical Therapist
  • Somerset, NJ
  • NPI 1245789064
  Medicare reassignment NPD
• United Sports Care & Physical Therapy

  • Occupational Therapist
  • Cedar Knolls, NJ
  • NPI 1972881233

  Physical Therapist

  Medicare reassignment NPD
• Trinity Rehab Somerset PA

  • Physical Therapist
  • Clark, NJ
  • NPI 1760957294
  NPD
• Trinity Rehab Somerset PA

  • Physical Therapy Clinic/Center
  • North Wales, PA
  • NPI 1144892852
  NPD

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1952544314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BRANCH BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241822",
            "telephone_number": "908-627-3033",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BRANCH BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241822",
            "telephone_number": "908-627-3033",
            "fax_number": "631-580-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2021-02-04",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01287100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "IDEN",
            "middle_name": "A",
            "credential": "PT, DPT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Paige Gerencser, MS
• Chana Gerstel, MA, LAC
• Roger Franklin Gerstl
• Amy Janine Ghione, ATC
• Kajal Amar Ghodasara
• Lia Gikashvili, MD
• Asim Haider Gilani, MD
• Jordyn Gilanyi, MS, LAC
• Victoria Gilham, DPT
• Dalton Sean Gilligan, D.P.T

• Physical Therapist in Brick, NJ
• Providers in Brick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.

Verify at the official NPI Registry.