DALE ROBERT GIBBS DPT
NPI 1407375405
Physical Therapist in Mountain Home, ID
About Dale Robert Gibbs Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALE ROBERT GIBBS DPT (NPI 1407375405) is an individual physical therapist in Mountain Home, Idaho, licensed in Idaho (PT-5372) and active in the NPI registry since September 2017.
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dale Robert Gibbs Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dale Gibbs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, SC 29601
- Reassigned Medicare billing, South Carolina enrollment
- 433 clinicians in this Medicare group
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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dale Gibbs's NPI number?
The NPI number for Dale Gibbs is 1407375405. It was assigned to this individual provider in the NPPES registry on September 12, 2017.
Where is Dale Gibbs located?
Dale Gibbs practices at 1005 W 6th S, Mountain Home, ID 83647. The listed phone number is (208) 587-1777.
What is Dale Gibbs's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Dale Gibbs enrolled in Medicare?
Yes. Dale Gibbs is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dale Gibbs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dale Gibbs reassigns Medicare benefits to Greenville Proaxis Therapy, LLC (Greenville, SC). 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 Dale Gibbs'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 Dale Gibbs was last updated on September 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.