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

Andrew Gibson

Individual provider Physical Therapist · NPI 1699662403

Andrew Gibson is a Physical Therapist in Private Practice in Woodbury, New Jersey. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025

Practice location Address checks out

603 N Broad St Ste 100
Woodbury, NJ 08096-1619
Phone: (856) 845-4488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02333300 (NJ)

Record details

NPI number1699662403
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 23, 2025
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address907 Station Ave, Haddon Heights, NJ 08035-1645

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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