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

Evan Gibson, DPT

Individual provider Physical Therapist · NPI 1669090858

Evan Gibson, DPT is a Physical Therapist in Private Practice in Medford, New Jersey. Qualified in 2020, 6 years ago. Practices with Ivyrehab Network Inc, a 653-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and New York.

Years since qualifying
6
Licensed in
ID, NY
In the registry since
2020
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

131 Route 70
Medford, NJ 08055-9501
Phone: (856) 533-0920
Fax: (856) 375-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5154 Harbour Dr, Palmyra, NJ 08065-2112 — (609) 346-5005

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01933400 (NY)
Physical Therapist Taxonomy 225100000X · Licence PT-6973 (ID)

Record details

NPI number1669090858
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 14, 2020
Last updated in NPPESAugust 7, 2020
Certification dateAugust 7, 2020
Mailing address1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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