AUSTIN CLARK GIBBS PT, DPT
NPI 1417483116
Physical Therapist in Keizer, OR
About Austin Clark Gibbs Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUSTIN CLARK GIBBS PT, DPT (NPI 1417483116) is an individual physical therapist in Keizer, Oregon, licensed in Oregon (65957) and active in the NPI registry since May 2017. He is a graduate of Other (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)
Austin Clark Gibbs Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Austin Gibbs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Keizer, OR 97303
- Reassigned Medicare billing, Oregon enrollment
- 3 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.
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 Austin Gibbs's NPI number?
The NPI number for Austin Gibbs is 1417483116. It was assigned to this individual provider in the NPPES registry on May 2, 2017.
Where is Austin Gibbs located?
Austin Gibbs practices at 4843 Verda Ln NE Apt 202, Keizer, OR 97303. The listed phone number is (503) 583-4017.
What is Austin Gibbs's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Austin Gibbs enrolled in Medicare?
Yes. Austin Gibbs is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Austin Gibbs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Austin Gibbs reassigns Medicare benefits to Oregon Wellness Network LLC (Keizer, OR). 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 Austin 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 Austin Gibbs was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.