KATHERINE W. GIBSON, MA, CCC-SLP
NPI 1831422112
Developmental Therapist in Jacksonville, FL

Active since September 17, 2009
3775 CRICKET COVE RD E, JACKSONVILLE, FL 32224(904) 254-0337(904) 223-4368 Get Directions Write a Review

NPPES record last updated: September 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katherine W. Gibson, Ma, Ccc-slp NPPES

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

KATHERINE W. GIBSON, MA, CCC-SLP (NPI 1831422112) is a healthcare organization registered as a developmental therapist in Jacksonville, Florida and active in the NPI registry since September 2009. The organization lists Katherine Woody Gibson, President, as its authorized official.

NPPES Registry Identity

NPI1831422112
Entity TypeOrganization
Primary Taxonomy222Q00000X
Legal Business NameGIBSON OF JAX, INC.
Location Address3775 CRICKET COVE RD EJacksonville, FL 32224-8401
Mailing Address3775 Cricket Cove Rd EJacksonville, FL 32224-8401 · (904) 254-0337 · Fax (904) 223-4368
Fax(904) 223-4368
Organization SubpartNo
Authorized OfficialKatherine Woody GibsonPresident · (904) 254-0337
Enumeration DateSeptember 17, 2009
NPI 1831422112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License SA 5525 (FL)
3775 CRICKET COVE RD E, Jacksonville, FL 32224

Other Names 1

Doing Business AsKatherine W. Gibson, Ma, Ccc-slp

Other Identifiers 2

Other1356441828Individual Npi
Medicaid885295200FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Speech-Language Pathologist
3775 CRICKET COVE RD E
JACKSONVILLE, FL 32224

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 Gibson Of Jax, Inc.'s NPI number?

The NPI number for Gibson Of Jax, Inc. is 1831422112. It was assigned to this organization in the NPPES registry on September 17, 2009. The provider is doing business as Katherine W. Gibson, Ma, Ccc-Slp.

Where is Gibson Of Jax, Inc. located?

Gibson Of Jax, Inc. is located at 3775 Cricket Cove Rd E, Jacksonville, FL 32224. The listed phone number is (904) 254-0337.

What is Gibson Of Jax, Inc.'s specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

When was this NPI record last updated?

The NPPES record for Gibson Of Jax, Inc. was last updated on September 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.