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

Jacob Gibson

Individual provider Physical Therapist · NPI 1366060956

Jacob Gibson is a Physical Therapist in Mountain Home, Idaho. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

245 N 3rd E
Mountain Home, ID 83647-2734
Phone: (208) 587-8255
Fax: (208) 587-4475
Show map & directions

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

Additional practice locations (1)

  • 68 S Baltic Pl, Meridian, ID 83642-5935 — (208) 898-0988

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-6700

Record details

NPI number1366060956
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 9, 2020
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address245 N 3rd E, Mountain Home, ID 83647-2734

Other providers in Mountain Home