Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathan John Gibson, PT

Individual provider Physical Therapist · NPI 1659502862

Nathan John Gibson, PT is a Physical Therapist in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2086 Vadalabene Dr
Maryville, IL 62062
Phone: (618) 288-7150
Fax: (618) 288-7160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070017219 (IL)

Record details

NPI number1659502862
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 5, 2009
Last updated in NPPESAugust 7, 2009

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