Active NPIIndividual provider

Jessica Gibbons

Physical Therapist in Berlin, Connecticut

NPI Number1104786391
Practice location
28 Peach Tree Ln, Berlin, CT 06037-2260
Fax
—
Last updated
November 12, 2025

Jessica Gibbons is a Physical Therapist based in Berlin, CT. Jessica Gibbons practices in Berlin, CT. The NPI Number for Jessica Gibbons is 1104786391. The current practice location address for Jessica Gibbons is 28 Peach Tree Ln, Berlin, CT 06037-2260 and can be reached out via phone at 203-312-3939.

Provider Profile Details

NPI Number
1104786391
Provider Name
Jessica Gibbons
Provider Entity Type
Individual
Address
28 Peach Tree Ln, Berlin, CT 06037-2260
Phone Number
203-312-3939
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 12, 2025
Last Update Date
November 12, 2025
Certification Date
November 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 Peach Tree Ln
Berlin, CT 06037-2260
City
Berlin
Zip
06037-2260
Phone Number
203-312-3939
Berlin, CT 06037Get directions →

Provider Business Mailing Address Details

Address
28 Peach Tree Ln
Berlin, CT 06037-2260
City
Berlin
State
CT
Zip
06037-2260

License Information

Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Gibbons?

The NPI number of Jessica Gibbons is 1104786391. It was assigned on November 12, 2025 and is currently active in the NPPES registry.

What is the specialty of Jessica Gibbons?

Jessica Gibbons is registered under the primary taxonomy Physical Therapist (code 225100000X).

Where does Jessica Gibbons practice?

The practice location is 28 Peach Tree Ln, Berlin, CT 06037-2260. The office can be reached at 203-312-3939 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104786391 directly on the NPPES registry website.

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