Matthew Jerrid Gibson, PTA
Physical Therapy Assistant in Irondale, AL. Individual provider (NPI-1).
NPI number1669913737
StatusActive
Last updated in NPPESMar 9, 2017
Details
- NPI
- 1669913737
- Entity type
- Individual (NPI-1)
- Name
- Mr. Matthew Jerrid Gibson
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2017
- Last updated
- Mar 9, 2017
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 |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 5561 | MS | Yes |
| 225200000X | Physical Therapy Assistant | 2117001 | TX |
Practice location
190 Cane Hedge RdIrondale, AL 35210-3524
Phone 662-571-0093
Mailing address
190 Cane Hedge RdIrondale, AL 35210-3524
Phone 662-571-0093
Is something wrong?
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.
Other Physical Therapy Assistant providers in Irondale, AL
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All 29 Physical Therapy Assistant providers in Irondale · All 257 providers in Irondale
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