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HOLLEY GIBSON
NPI 1275008120
Speech-Language Pathologist in Wathena, KS

Active since October 08, 2018
2112 HIGHWAY 36, WATHENA, KS 66090(785) 989-3141 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2024, Oct 8, 2018 (2 updates tracked since 2018).

About Holley Gibson NPPES

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

HOLLEY GIBSON (NPI 1275008120) is an individual speech-language pathologist provider in Wathena, Kansas, licensed in Kansas (3433) and active in the NPI registry since October 2018. She maintains a secondary practice location in Highland.

NPPES Registry Identity

NPI1275008120
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameHOLLEY GIBSON
Location Address2112 HIGHWAY 36Wathena, KS 66090-4126
Mailing Address2112 Highway 36Wathena, KS 66090-4126
Phone(785) 989-3141
Sole ProprietorNo
Enumeration DateOctober 8, 2018
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1275008120 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 KS · 3433
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.
2112 HIGHWAY 36, Wathena, KS 66090
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Other Names 1

Former Name (1)Holley Thompson

Secondary Practice Location 1

Location 1402 S AvenueHighland, KS 66035-4162 · Phone (785) 442-3217

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holley Gibson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Holley Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehab Advantage Solutions, PLLC
1,038 mi
Physical Therapist
8477 S SUNCOAST BLVD
Homosassa, FL 34446
  • Reassigned Medicare billing, Missouri enrollment
  • 23 clinicians in this Medicare group
NPI 1164908307 (800) 381-0822

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

CHELSEY BYERGO NP LLC
Nurse Practitioner (Family)
2112 HIGHWAY 36
WATHENA, KS 66090
Doniphan County (816) 616-7408
MS. HOLLY TERESA ATLAKSON COTA/L
Occupational Therapy Assistant
2112 HIGHWAY 36
WATHENA, KS 66090
Doniphan County (785) 989-3141
WATHENA HEALTHCARE AND REHABILITATION CENTER, LLC
Skilled Nursing Facility
2112 HIGHWAY 36
WATHENA, KS 66090
Doniphan County (785) 989-3141
RICHAILLE SMITH
Physical Therapist
2112 HIGHWAY 36
WATHENA, KS 66090
Doniphan County (785) 989-3141
CYNTHIA LEDNICKY
Physical Therapy Assistant
2112 HIGHWAY 36
WATHENA, KS 66090
Doniphan County (785) 989-3141
JENNIFER SCHULTZ PTA
Physical Therapy Assistant
2112 HIGHWAY 36
WATHENA, KS 66090
Doniphan County (785) 989-3141
RECOVER-CARE WATHENA LLC
Skilled Nursing Facility
2112 HIGHWAY 36
WATHENA, KS 66090
Doniphan County (785) 989-3141

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 Holley Gibson's NPI number?

The NPI number for Holley Gibson is 1275008120. It was assigned to this individual provider in the NPPES registry on October 8, 2018. The provider is also known as Holley Thompson.

Where is Holley Gibson located?

Holley Gibson practices at 2112 Highway 36, Wathena, KS 66090. The listed phone number is (785) 989-3141.

What is Holley Gibson's specialty?

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

Is Holley Gibson enrolled in Medicare?

Yes. Holley Gibson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Holley Gibson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holley Gibson reassigns Medicare benefits to Rehab Advantage Solutions, PLLC (Homosassa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holley Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Holley Gibson was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.