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

Kentron Markese Gibson, DPT

Individual provider Physical Therapist · NPI 1669266904

Kentron Markese Gibson, DPT is a Physical Therapist in Private Practice in Tupelo, Mississippi. Qualified in 2023, 3 years ago. Practices with Sog Physical Therapy, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
3
Licensed in
LA, MS
In the registry since
2025
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

1211 S Gloster St Ste C
Tupelo, MS 38801-6548
Phone: (662) 432-1523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 School St, Houma, LA 70360-4629 — (985) 868-1540

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8067 (MS)
Physical Therapist Taxonomy 225100000X · Licence 12002R (LA)

Record details

NPI number1669266904
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 9, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sog Physical Therapy — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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