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

Miss. Lydia Gibson

Individual provider Physical Therapist · NPI 1316327067

Miss. Lydia Gibson is a Physical Therapist in Private Practice in Blue Springs, Missouri. Qualified in 2020, 6 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
6
Licensed in
KS, MO
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

220 NW R D Mize Rd Ste B203
Blue Springs, MO 64014-2540
Phone: (816) 220-0223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1315 Sw 6th Ave, Topeka, KS 66606-1581 — (785) 233-5512

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2020023285 (MO)
Physical Therapist Taxonomy 225100000X · Licence 11-06503 (KS)
Physical Therapy Assistant Taxonomy 225200000X · Licence 14-02859 (KS)

Record details

NPI number1316327067
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 8, 2015
Last updated in NPPESAugust 6, 2020
Certification dateAugust 6, 2020

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 Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Blue Springs