Eileen Mary Gibson, PT PHYSICAL THERAPIS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4642 Issued in CO

Practice address

2101 S Garfield Ave
Good Samaritan Village
Loveland, CO 80537

Phone

(970) 669-3101

NPI assigned

Jun 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982807343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 ELDORADO SP DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805385328",
            "telephone_number": "970-663-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S GARFIELD AVE",
            "address_2": "GOOD SAMARITAN VILLAGE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80537",
            "telephone_number": "970-669-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "EILEEN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "PT PHYSICAL THERAPIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4642",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT11528",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott A. Gerardy, CRNA
• Louis Ray Gerken, D.D.S.
• Marie Heywood Getz, LPC, LAC, MA
• Roberto Gianani, M.D.
• Richard F Giansiracusa, MD
• Penni Elayne Gibson, RDH
• Bobbie J Giezen, RN
• Shawn Giffin-Dean, M.ED., CCC-SLP
• Bea Giffin, LCSW
• Sarvjit Singh Gill, M.D.

• Physical Therapist in Loveland, CO
• Providers in Loveland, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.