MS. SUSAN H GIBSON PT
NPI 1659545507
Physical Therapist - Pediatrics in Champaign, IL

Active since April 22, 2008
1304 W BRADLEY AVE, CHAMPAIGN, IL 61821(217) 359-0287 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Susan H Gibson Pt NPPES

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

MS. SUSAN H GIBSON PT (NPI 1659545507) is an individual pediatrics provider in Champaign, Illinois, licensed in Illinois (070003093) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1659545507
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMS. SUSAN H GIBSONCredential: PT
Location Address1304 W BRADLEY AVEChampaign, IL 61821-2035
Mailing Address123 W William StMonticello, IL 61856-1939 · (217) 762-3914
Sole ProprietorNo
Enumeration DateApril 22, 2008
NPI 1659545507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in IL · 070003093
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
1304 W BRADLEY AVE, Champaign, IL 61821

Other Providers at the Same Location NPPES 15

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

Developmental Therapist
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821
Developmental Therapist
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821
Developmental Therapist
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821
Developmental Therapist
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821
Early Intervention Provider Agency
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821
Developmental Therapist
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821
Developmental Therapist
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821
Developmental Therapist
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821

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 Susan Gibson's NPI number?

The NPI number for Susan Gibson is 1659545507. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Where is Susan Gibson located?

Susan Gibson practices at 1304 W Bradley Ave, Champaign, IL 61821. The listed phone number is (217) 359-0287.

What is Susan Gibson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Susan Gibson was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.