MS. SUSAN H GIBSON (NPI# 1659545507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659545507 |
| Entity Type | Individual |
| Full Name | MS. SUSAN H GIBSON |
| Credential | PT |
| Practice Address |
1304 W Bradley Ave Champaign IL 61821-2035 |
| Mailing Address |
123 W William St Monticello IL 61856-1939 |
| Practice Telephone | 2173590287 |
| Mailing Telephone | 2177623914 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
070003093 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558804278 | Susan Gibson | Massage Therapist | 5143 Se Blue Heron Ln, Stuart, FL 34997-3314 | 2016-11-29 |
| 1821413550 | Susan Gibson | Counselor | 1210 S Hadden Ave, El Reno, OK 73036-5445 | 2014-03-04 |
| 1386965325 | Susan Mary Gibson | Nurse Practitioner | 222 E Canon Perdido St, Santa Barbara, CA 93101-2283 | 2010-06-14 |
| 1366576340 | Susan Elaine Gibson | Registered Nurse | 34 N. Phila. Blvd., Aberdeen, MD 21001 | 2007-03-14 |
| 1528585205 | Susan Yvette Gibson | Social Worker | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2017-08-24 |
| 1407244841 | Susan D Gibson | Registered Nurse | 1909 Hampshire Pike, Columbia, TN 38401-5650 | 2015-01-08 |
| 1881082741 | Susan Marie Gibson | Occupational Therapist | 563 W Streetsboro St, Hudson, OH 44236-2050 | 2014-12-30 |
| 1164837811 | Susan G. Gibson | Nurse Practitioner | 310 Fisk St, Pittsburgh, PA 15201-1708 | 2014-06-20 |
| 1902958887 | Susan Ballou Gibson | Dentist | 110 Hardin Ln, Suite 2, Somerset, KY 42503-3818 | 2007-01-18 |
| 1720194087 | Susan M Gibson | Family Medicine | 3840 Gault Ave N, Fort Payne, AL 35967-5211 | 2006-08-21 |
| Street Address |
1304 W BRADLEY AVE |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801952817 | Developmental Services Center | Day Training, Developmentally Disabled Services | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2006-12-28 |
| 1417590506 | Kristin A Rose | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2019-10-22 |
| 1023512118 | Agnieszka Chrzanowska | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2018-03-22 |
| 1174053946 | Heather Marie Johnson | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2017-06-14 |
| 1750558326 | Ashley Smiley | Counselor | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2008-05-13 |
| 1346469228 | Judith Ullom | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2007-04-25 |
| 1720207699 | Barry Chapman | Physical Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2007-04-25 |
| 1558580431 | Kristena Rudloff | Counselor | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2007-04-25 |
| 1740409630 | Mary Petre | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2007-04-25 |
| 1548489438 | Sarajane Annin | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720207699 | Barry Chapman | Physical Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1437625001 | Jennifer K. Buccelli, Mpt | Physical Therapist | 597 Plymouth Ct, Gurnee, IL 60031-3229 | 2018-10-22 |
| 1124511159 | Molly Victorine | Physical Therapist | 1375 Newcastle Ln, Hoffman Estates, IL 60169-1225 | 2018-06-13 |
| 1750896163 | Julie Ann Brady | Physical Therapist | 430 Nevada St, Frankfort, IL 60423-1565 | 2017-12-07 |
| 1467965939 | Carla Gain | Physical Therapist | 118 Westhaven School Rd, Belleville, IL 62220-3264 | 2017-11-07 |
| 1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1417409970 | Katherine Wolff | Physical Therapist | 12 N Kenilworth Ave, Mount Prospect, IL 60056-2232 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.