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

Elyssa Ann Gibbons, DPT

Individual provider Physical Therapist · NPI 1447923313

Elyssa Ann Gibbons, DPT is a Physical Therapist in Private Practice in Boonville, Missouri. Qualified in 2017, 9 years ago. Practices with Boone Physician Services LLC, a 240-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2021
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

1731 Daniel Boone Ln
Boonville, MO 65233-2864
Phone: (660) 537-3908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3301 Berrywood Dr Ste 204, Columbia, MO 65201-6517 — (573) 449-8771

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2017026630 (MO)

Record details

NPI number1447923313
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 27, 2021
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021
Mailing address1731 Daniel Boone Ln, Boonville, MO 65233-2864

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Boone Physician Services Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Boonville