Jennifer Gibbons
Physical Therapist in Brunswick, OH. Individual provider (NPI-1).
NPI number1225683055
StatusActive
Last updated in NPPESAug 8, 2019
Details
- NPI
- 1225683055
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Gibbons
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2019
- Last updated
- Aug 8, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT016283 | OH | Yes |
Practice location
3643 Center RdBrunswick, OH 44212-3619
Phone 440-391-1142
Mailing address
363 Autumn Reserve PkwyBrunswick, OH 44212-7030
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Physical Therapist providers in Brunswick · All 581 providers in Brunswick
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