Michael Ryan Gibson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001632 Issued in WV

Practice address

122 Sandstone Dr Apt 12
Beckley, WV 25801-2843

Phone

(304) 923-2427

NPI assigned

Jun 20, 2011

Last updated

Jun 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1952697781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SANDSTONE DR APT 12",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012843",
            "telephone_number": "304-923-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SANDSTONE DR APT 12",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012843",
            "telephone_number": "304-923-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "001632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vera Getsie
• Holly Denise Gevenosky, PHARMD
• Jason Roman Gevenosky, PHARMD
• Rachel Michelle Giambanco, MA.CCC-SLP
• Alisha Gibson
• Tonya Gibson
• Lindsay Erin Gilchrist, PHARMD.
• April Giles
• Ashley Nicole Gill, FNP-BC
• Betty Louise Gill

• Physical Therapy Assistant in Beckley, WV
• Providers in Beckley, WV by specialty
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.