Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BLAKE NICOLE GIBSON M.S., CCC-SLP
NPI 1104743863
Speech-Language Pathologist in Fort Worth, TX

Active since July 02, 2026
4901 BRYANT IRVIN RD N STE 200, FORT WORTH, TX 76107(817) 433-9742 Get Directions Write a Review

NPPES record added: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blake Nicole Gibson M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE NICOLE GIBSON M.S., CCC-SLP (NPI 1104743863) is an individual speech-language pathologist provider in Fort Worth, Texas, licensed in Texas (122638) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1104743863
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBLAKE NICOLE GIBSONCredential: M.S., CCC-SLP
Location Address4901 BRYANT IRVIN RD N STE 200Fort Worth, TX 76107-7673
Mailing Address10917 Los Rios DrFort Worth, TX 76179-6842
Sole ProprietorNo
Enumeration DateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
NPI 1104743863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in TX · 122638
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

4901 BRYANT IRVIN RD N STE 200, Fort Worth, TX 76107

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4901 BRYANT IRVIN RD N STE 200
FORT WORTH, TX 76107
Physical Therapist (Neurology)
4901 BRYANT IRVIN RD N STE 200
FORT WORTH, TX 76107
Physical Therapist
4901 BRYANT IRVIN RD N STE 200
FORT WORTH, TX 76107
Physical Therapist
4901 BRYANT IRVIN RD N STE 200
FORT WORTH, TX 76107
Physical Therapist
4901 BRYANT IRVIN RD N STE 200
FORT WORTH, TX 76107
Speech-Language Pathologist
4901 BRYANT IRVIN RD N STE 200
FORT WORTH, TX 76107
Physical Therapist
4901 BRYANT IRVIN RD N STE 200
FORT WORTH, TX 76107
Speech-Language Pathologist
4901 BRYANT IRVIN RD N STE 200
FT WORTH, TX 76107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Gibson's NPI number?

The NPI number for Blake Gibson is 1104743863. It was assigned to this individual provider in the NPPES registry on July 2, 2026.

Where is Blake Gibson located?

Blake Gibson practices at 4901 Bryant Irvin Rd N Ste 200, Fort Worth, TX 76107. The listed phone number is (817) 433-9742.

What is Blake Gibson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Blake Gibson was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.