Tara T Gibson (NPI# 1871009225, PAC ID# 4587924501) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1871009225 |
| PAC ID by PECOS | 4587924501 |
| Professional Enrollment ID | I20180212001232 |
| Full Name | Tara T Gibson |
| Organization Legal Name | ELITE PHYSICAL THERAPY AND FITNESS, PSC |
| Address |
221 Ballpark Rd Hardinsburg KY 40143-4861 |
| Phone Number | 2707565007 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1658462122 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1217 N Main St, Beaver Dam, KY 42320-8955 | 2702747311 | ELITE PHYSICAL THERAPY AND FITNESS, PSC |
| 221 Ballpark Rd, Hardinsburg, KY 40143-4861 | 2707565007 | ELITE PHYSICAL THERAPY AND FITNESS, PSC |
| Organization Legal Name | ELITE PHYSICAL THERAPY AND FITNESS, PSC |
| Physicians | 1 |
| Street Address |
221 BALLPARK RD |
| City | HARDINSBURG |
| State | KY |
| Zip | 40143-4861 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen M Brooks | Physical Therapy | 221 Ballpark Rd, Hardinsburg, KY 40143-4861 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Knox | Otolaryngology | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| Kent R Ruskowski | Chiropractic | 143a Old Hwy 60, Hardinsburg, KY 40143-2501 | |
| Benjamin S Smith | Family Medicine | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| Brian Thomas Odonoghue | Family Medicine | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| Rotimi A Iluyomade | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Ray Charles Kennedy | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Kerry C Gusler | Family Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Nicholls W Nelson | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Mandy Jo Butler | Nurse Practitioner | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Roger L Gelperin | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Find all physicians in zip 40143 | |||
| City | HARDINSBURG |
| Zip Code | 40143 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | HARDINSBURG + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Tara T Gibson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.