Brett J Gibbons, Doc of Physical Ther
Physical Therapist in Rockwall, TX. Individual provider (NPI-1).
NPI number1578833596
StatusActive
Last updated in NPPESJan 6, 2012
Details
- NPI
- 1578833596
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brett J Gibbons
- Credential
- Doc of Physical Ther
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2012
- Last updated
- Jan 6, 2012
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 | 1207866 | TX | Yes |
Practice location
930 W Ralph Hall Pkwy Ste 120Rockwall, TX 75032-6664
Phone 972-771-0999 · Fax 972-771-2281
Mailing address
930 W Ralph Hall Pkwy Ste 120Rockwall, TX 75032-6664
Phone 972-771-0999 · Fax 972-771-2281
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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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