Colleen Marie Gibson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA20644 Issued in FL

Practice address

1888 S Pinellas Ave
Unit a
Tarpon Springs, FL 34689-1925

Phone

(727) 934-6791

NPI assigned

Feb 26, 2014

Sex

Female

Sole proprietor

No

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": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1972928083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 CHADWICK DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346546035",
            "telephone_number": "727-415-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 S PINELLAS AVE",
            "address_2": "UNIT A",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891925",
            "telephone_number": "727-934-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Generations at Home LLC
• Generations at Home LLC
• Riham George
• Christy J. Giallourakis, DOM, A.P
• Debra Gibb, RN
• Jeanette Christine Gillespie, R.T.(R)(CT)
• James Pitzer Gills III, M.D.
• James Pitzer Gills Jr., M.D.
• Carrie Anne Girard, RDH
• Mark S Girguis, MD

• Physical Therapy Assistant in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.