NPI age
5 years
Enumerated 2020-07-09
● Active
Type 1 · Individual
Jacob Gibson
Gibson is 1 of 14 physical therapist providers in Mountain Home and 1 of 2006 in Idaho.
Primary specialty
Physical Therapist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2020-07-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2006 active physical therapist providers in Idaho.
NPI age
5 years
↓ 6 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Practice location
245 N 3rd E
Mountain Home, ID 836472734
Mailing address
245 N 3rd E
Mountain Home, ID 836472734
Additional practice locations
1 secondary location on file with NPPES.
Location 2
68 S Baltic Pl
Meridian, ID 836425935
Specialties
-
Physical Therapist PrimaryPhysical 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...
Practice context
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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