Bryan J Gibby, MSPT, CWS | |
1492 Christensen Dr, Blackfoot, ID 83221-3707 | |
(208) 240-7221 | |
Not Available |
Full Name | Bryan J Gibby |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1492 Christensen Dr, Blackfoot, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063656221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-1780 (Idaho) | Primary |
225100000X | Physical Therapist | 292356-2401 (Utah) | Secondary |
Provider Name | Doctors Of Physical Therapy Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376252114 PECOS PAC ID: 2365812104 Enrollment ID: O20230112000303 |
Mailing Address | Practice Location Address |
---|---|
Bryan J Gibby, MSPT, CWS 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 785-3883 | Bryan J Gibby, MSPT, CWS 1492 Christensen Dr, Blackfoot, ID 83221-3707 Ph: (208) 240-7221 |
Tyce Alden Stewart, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 Fax: 208-782-1885 | |
Jessica Annelaine Vandyke, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 282 W Bridge St, Blackfoot, ID 83221 Phone: 208-684-0021 | |
Brian Don Boehme, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Pete Richar Johnson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 131 N Oak St, Blackfoot, ID 83221 Phone: 208-684-2444 | |
Mr. Dustin Cade Schmitt, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 | |
Jonathan Dac-moang Liem, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1441 Parkway Dr Ste 1, Blackfoot, ID 83221 Phone: 208-785-3446 Fax: 208-980-7241 |