Nathan Gibson, DPT in Clinton, TN - Medicare Physical Therapist Provider

Nathan Gibson, DPT is a medicare enrolled "Physical Therapist" provider in Clinton, Tennessee. His current practice location is 1921 N Charles G Seivers Blvd, Clinton, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 457-1649.

Nathan Gibson is licensed to practice in Tennessee (license number 9652) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053711903.

Contact Information

	Nathan Gibson, DPT
	1921 N Charles G Seivers Blvd, Clinton, TN 37716-6700
	(865) 457-1649
	(865) 463-7825

Map and Direction

Healthcare Provider's Profile

Full Name	Nathan Gibson
Gender	Male
Speciality	Physical Therapist
Location	1921 N Charles G Seivers Blvd, Clinton, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053711903
Provider Enumeration Date: 08/28/2014
Last Update Date: 09/04/2025

Medicare PECOS Information:

PECOS PAC ID: 9739407529
Enrollment ID: I20150407000994

Medical Identifiers

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

Identifier	Type	State	Issuer
1053711903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	8465 (Kentucky)	Secondary
225100000X	Physical Therapist	9652 (Tennessee)	Primary

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. Nathan Gibson allows following entities to bill medicare on his behalf.

Provider Name	Summit Medical Group, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793

Provider Name	Champion Physical Therapy Llc Halls
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1073771564 PECOS PAC ID: 1355416306 Enrollment ID: O20120619000128

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. Nathan 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
Nathan Gibson, DPT 1921 N Charles G Seivers Blvd, Clinton, TN 37716-6700 Ph: (865) 457-1649	Nathan Gibson, DPT 1921 N Charles G Seivers Blvd, Clinton, TN 37716-6700 Ph: (865) 457-1649

Reviews and Comments

Physical Therapist in Clinton, TN

Scott Edwards, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 Fax: 865-463-7825
Ashton Grimm, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649
Mrs. Teresa B Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 Jefferson Ln, Clinton, TN 37716 Phone: 865-776-3247
Taylor Layne Gilliam, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649
Beverly U Baumgardner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 Fax: 865-463-7825
Dr. Brian Scott Hoppestad, EDD, MS, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 562 Mariner Point Drive, Clinton, TN 37716 Phone: 865-457-6465 Fax: 865-381-1205

Nathan Gibson, DPT - Medicare Physical Therapist in Clinton, TN