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

Jason Wilde Gibson, PT, AT

Individual provider Physical Therapist · NPI 1275034167

Jason Wilde Gibson, PT, AT is a Physical Therapist in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

7800 W Outer Dr
Detroit, MI 48235-3461
Phone: (313) 543-6295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501009462 (MI)

Record details

NPI number1275034167
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , AT
Sole proprietorNo
NPI enumeratedFebruary 26, 2018
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

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