DALE ROBERT GIBBS DPT
NPI 1407375405
Physical Therapist in Mountain Home, ID

Active since September 12, 2017
1005 W 6TH S, MOUNTAIN HOME, ID 83647(208) 587-1777(208) 587-1784 Get Directions Write a Review

NPPES record last updated: September 12, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1407375405
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDALE ROBERT GIBBSCredential: DPT
Location Address1005 W 6TH SMountain Home, ID 83647-3339
Mailing Address7550 W Emerald StBoise, ID 83704-9015 · (208) 375-0666 · Fax (208) 375-2996
Fax(208) 587-1784
Sole ProprietorNo
Enumeration DateSeptember 12, 2017
✔ NPI 1407375405 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 ID · PT-5372
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.
1005 W 6TH S, Mountain Home, ID 83647

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.

Physical Therapist
103 N MAIN ST, STE 99
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.

Physical Therapist
1005 W 6TH S
MOUNTAIN HOME, ID 83647
Physical Therapist
1005 W 6TH S
MOUNTAIN HOME, ID 83647
Physical Therapist
1005 W 6TH S
MOUNTAIN HOME, ID 83647

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.