Jordan N Gibson, DPT in Daleville, VA - Medicare Physical Therapist In Private Practice Provider

Jordan N Gibson, DPT is a medicare enrolled "Physical Therapist" provider in Daleville, Virginia. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Tidewater Physical Therapy Llc and his current practice location is 133 Market Center Way Ste 2, Daleville, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 242-3017.

Jordan N Gibson is licensed to practice in Virginia (license number 2305211906) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053802207.

Contact Information

	Jordan N Gibson, DPT
	133 Market Center Way Ste 2, Daleville, VA 24083-3284
	(540) 242-3017
	(540) 492-4058

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan N Gibson
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	8 Years
Location	133 Market Center Way Ste 2, Daleville, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jordan N Gibson graduated from medical school in 2018

NPI Data:

NPI Number: 1053802207
Provider Enumeration Date: 05/23/2018
Last Update Date: 12/29/2025

Medicare PECOS Information:

PECOS PAC ID: 4789912619
Enrollment ID: I20190829003413

Medical Identifiers

Medical identifiers for Jordan N Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053802207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305211906 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tidewater Physical Therapy Llc	6406759281	181

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jordan N Gibson allows following entities to bill medicare on his behalf.

Provider Name	Tidewater Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan N Gibson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jordan N Gibson, DPT Po Box 412307, Boston, MA 02241-2307 Ph: (914) 294-4050	Jordan N Gibson, DPT 133 Market Center Way Ste 2, Daleville, VA 24083-3284 Ph: (540) 242-3017

Reviews and Comments

Physical Therapist in Daleville, VA

University Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Shenandoah Ave Ste 203, Daleville, VA 24083 Phone: 540-352-4304 Fax: 540-591-7340
Michael Eaton, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 133 Market Center Way, Ste 2, Daleville, VA 24083 Phone: 540-242-3017
Jourdan Paige Bushman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Shenandoah Ave Ste 203, Daleville, VA 24083 Phone: 540-381-9100
Tayler Lynn Lewis, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Shenandoah Ave Ste 201, Daleville, VA 24083 Phone: 540-591-7514
Maverick Coleman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Catawba Rd Ste 201, Daleville, VA 24083 Phone: 540-992-4801
Audrey A Ward, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1616 Roanoke Rd, Suite 100, Daleville, VA 24083 Phone: 540-992-4801 Fax: 540-992-1669

Jordan N Gibson, DPT - Medicare Physical Therapist in Daleville, VA