RYAN G GIBBONS
NPI 1780419580
Physical Therapist in San Diego, CA

Active since September 03, 2024Accepts Medicare Assignment
12171 WORLD TRADE DR, SAN DIEGO, CA 92128(858) 290-0855 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2026, May 9, 2025, Sep 3, 2024 (3 updates tracked since 2024).

About Ryan G Gibbons NPPES

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

RYAN G GIBBONS (NPI 1780419580) is an individual physical therapist in San Diego, California, licensed in California (307964) and active in the NPI registry since September 2024. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1780419580
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameRYAN G GIBBONS
Location Address12171 WORLD TRADE DRSan Diego, CA 92128-3709
Mailing Address11951 Oakview WaySan Diego, CA 92128-5295 · (858) 243-9146
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 3, 2024
Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1780419580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · 307964
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 2000042459 (CA)
12171 WORLD TRADE DR, San Diego, CA 92128

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan G Gibbons 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 ID3779079074
PECOS Enrollment IDI20260106002900

Medicare Billing Reassignment

Medicare enrollment records show Ryan Gibbons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
2748 ARIANE DR, UNIT 141
San Diego, CA 92117
  • Reassigned Medicare billing, California enrollment
  • 18 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92128 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 7

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

Physical Therapist
12171 WORLD TRADE DR
SAN DIEGO, CA 92128
Massage Therapist
12171 WORLD TRADE DR
SAN DIEGO, CA 92128
Physical Therapy Assistant
12171 WORLD TRADE DR
SAN DIEGO, CA 92128
Physical Therapist (Orthopedic)
12171 WORLD TRADE DR
SAN DIEGO, CA 92128
Physical Therapist
12171 WORLD TRADE DR
SAN DIEGO, CA 92128
Physical Therapist
12171 WORLD TRADE DR
SAN DIEGO, CA 92128
General Practice
12171 WORLD TRADE DR
SAN DIEGO, CA 92128

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 Ryan Gibbons's NPI number?

The NPI number for Ryan Gibbons is 1780419580. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Ryan Gibbons located?

Ryan Gibbons practices at 12171 World Trade Dr, San Diego, CA 92128. The listed phone number is (858) 290-0855.

What is Ryan Gibbons's specialty?

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

Is Ryan Gibbons enrolled in Medicare?

Yes. Ryan Gibbons 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.

Which organization bills Medicare for Ryan Gibbons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Gibbons reassigns Medicare benefits to Bespoke San Diego Physical Therapy PC (San Diego, CA). 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 Ryan Gibbons'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 Ryan Gibbons was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.