National Provider Identifier
Thaddeus Gibson, PT DPT
Thaddeus Gibson, PT DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in West Seneca, NY and a listed phone number of (716) 656-8600.
Profile Overview
- NPI
- 1922666395
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 31, 2019
- Last Updated
- April 14, 2021
Practice Location
- 2100 Union RD
- West Seneca, NY 14224-1400
Phone: (716) 656-8600
Mailing Address
- Box 8000 Department 314
- Buffalo, NY 14267-0002
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1922666395
- Entity Type
- Individual
- Last Name
- Gibson
- First Name
- Thaddeus
- Credential
- PT DPT
- Mailing Street Address
- Box 8000 Department 314
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14267-0002
- Mailing Country
- US
- Mailing Phone
- (716) 213-0772
- Mailing Fax
- (716) 324-5004
- Practice Street Address
- 2100 Union RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-1400
- Practice Country
- US
- Practice Phone
- (716) 656-8600
- Enumeration Date
- May 31, 2019
- Last Updated
- April 14, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 05930887 (NY)