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

Brandon Gibson, DPT

Individual provider Physical Therapist · NPI 1841952801

Brandon Gibson, DPT is a Physical Therapist in Antigo, Wisconsin. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

112 E 5th Ave
Antigo, WI 54409-2710
Phone: (715) 623-9449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6355 N Us Highway 23, Spruce, MI 48762-9567 — (989) 464-2704

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X
Physical Therapist Taxonomy 225100000X · Licence 5501020235 (MI)

Record details

NPI number1841952801
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedOctober 7, 2021
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022
Mailing address6355 N Us Highway 23, Spruce, MI 48762-9567

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