Evan Gibson, DPT | |
131 Route 70, Medford, NJ 08055-9501 | |
(856) 533-0920 | |
(856) 375-1110 |
Full Name | Evan Gibson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 131 Route 70, Medford, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669090858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-6973 (Idaho) | Secondary |
225100000X | Physical Therapist | 40QA01933400 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Network Inc | 3476539776 | 463 |
Provider Name | Ivyrehab Network Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
Mailing Address | Practice Location Address |
---|---|
Evan Gibson, DPT 1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258 Ph: (631) 580-5200 | Evan Gibson, DPT 131 Route 70, Medford, NJ 08055-9501 Ph: (856) 533-0920 |
Mrs. Catherine Michalsky Heino, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Huntington Circle Dr, Medford, NJ 08055 Phone: 609-462-2092 Fax: 609-953-6990 | |
Mark William Butler, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 128 Route 70, Suite 2c, Medford, NJ 08055 Phone: 609-953-7227 | |
Hailey Ann Layton, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 128 Route 70 Ste 2c, Medford, NJ 08055 Phone: 609-953-7222 | |
Dr. Daniel Gorenberg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 175 Route 70 Ste 19, Medford, NJ 08055 Phone: 609-714-3378 | |
Joseph M Bodnar, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 131 Route 70, Medford, NJ 08055 Phone: 856-533-0920 | |
Mr. Joseph M Moore, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 176 Route 70, Suite 10, Medford, NJ 08055 Phone: 609-714-7733 Fax: 609-714-7750 | |
Mrs. Donna M Sherman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Medford Leas, Medford, NJ 08055 Phone: 609-654-3069 |