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

Jordan N Gibson, DPT

Individual provider Physical Therapist · NPI 1053802207

Jordan N Gibson, DPT is a Physical Therapist in Private Practice in Daleville, Virginia. Qualified in 2018, 8 years ago. Practices with Ivyrehab Sept, LLC, a 215-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

133 Market Center Way Ste 2
Daleville, VA 24083-3284
Phone: (540) 242-3017
Fax: (540) 492-4058
Show map & directions

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

Additional practice locations (1)

  • 872 Prices Fork Rd, Blacksburg, VA 24060-3229 — (540) 739-2161

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305211906 (VA)

Record details

NPI number1053802207
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 23, 2018
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ivyrehab Sept, Llc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Daleville