TARA TRACI GIBSON PT
NPI 1871009225
Physical Therapist - Neurology in Lake Mary, FL

Q: What is Tara Gibson's NPI number?

The NPI number for Tara Gibson is 1871009225. It was assigned to this individual provider in the NPPES registry on December 21, 2017.

Q: What is Tara Gibson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Q: When was this NPI record last updated?

The NPPES record for Tara Gibson was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 21, 2017

100 WAYMONT CT STE 120, LAKE MARY, FL 32746(502) 759-2444 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2024, Dec 21, 2017 (2 updates tracked since 2017).

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About Tara Traci Gibson Pt NPPES

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

TARA TRACI GIBSON PT (NPI 1871009225) is an individual neurology provider in Lake Mary, Florida, licensed in Florida (PT38351) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1871009225

Entity TypeIndividualFemale

Primary Taxonomy2251N0400X

Provider Legal NameTARA TRACI GIBSONCredential: PT

Location Address100 WAYMONT CT STE 120Lake Mary, FL 32746-3412

Mailing Address100 Waymont Ct Ste 120Lake Mary, FL 32746-3412 · (502) 759-2444

Phone(502) 759-2444

Sole ProprietorNo

Enumeration DateDecember 21, 2017

Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2024

✔ NPI 1871009225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251N0400X

License✔ Licensed in FL · PT38351

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

100 WAYMONT CT STE 120, Lake Mary, FL 32746

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Other Providers at the Same Location NPPES 14

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

CHRISTINA WHITE TAYLOR PTA

Physical Therapy Assistant