GAVIN CONNOR DIBBLE DPT
NPI 1396587259
Physical Therapist in Selden, NY

Active since June 11, 2024Accepts Medicare Assignment
1312 MIDDLE COUNTRY RD, SELDEN, NY 11784(631) 732-0700 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2025, Jun 11, 2024 (2 updates tracked since 2024).

About Gavin Connor Dibble Dpt NPPES

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

GAVIN CONNOR DIBBLE DPT (NPI 1396587259) is an individual physical therapist in Selden, New York, licensed in New York (052589) and active in the NPI registry since June 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1396587259
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameGAVIN CONNOR DIBBLECredential: DPT
Location Address1312 MIDDLE COUNTRY RDSelden, NY 11784-2514
Mailing Address197 Pointe Cir NCoram, NY 11727-1542 · (631) 566-7607
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 11, 2024
Last NPPES UpdateMay 5, 20252 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
NPI 1396587259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 052589
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1312 MIDDLE COUNTRY RD, Selden, NY 11784

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gavin Connor Dibble Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032658612
PECOS Enrollment IDI20240827003053

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11784 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Family Medicine (Adult Medicine)
1312 MIDDLE COUNTRY RD
SELDEN, NY 11784
Physical Therapist
1312 MIDDLE COUNTRY RD
SELDEN, NY 11784
Physical Therapist
1312 MIDDLE COUNTRY RD
SELDEN, NY 11784
Physical Therapist
1312 MIDDLE COUNTRY RD
SELDEN, NY 11784
Physical Therapist
1312 MIDDLE COUNTRY RD
SELDEN, NY 11784
Physical Therapist
1312 MIDDLE COUNTRY RD
SELDEN, NY 11784
Physical Therapist
1312 MIDDLE COUNTRY RD
SELDEN, NY 11784
Physical Therapist
1312 MIDDLE COUNTRY RD
SELDEN, NY 11784

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 Gavin Dibble's NPI number?

The NPI number for Gavin Dibble is 1396587259. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Where is Gavin Dibble located?

Gavin Dibble practices at 1312 Middle Country Rd, Selden, NY 11784. The listed phone number is (631) 732-0700.

What is Gavin Dibble's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Gavin Dibble enrolled in Medicare?

Yes. Gavin Dibble is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gavin Dibble was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.