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

Nathan John Gibson, PT

Individual provider Physical Therapist · NPI 1659502862

Nathan John Gibson, PT is a Physical Therapist in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
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

2086 Vadalabene Dr
Maryville, IL 62062
Phone: (618) 288-7150
Fax: (618) 288-7160
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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 070017219 (IL)

Record details

NPI number1659502862
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 5, 2009
Last updated in NPPESAugust 7, 2009
Mailing address2086 Vadalabene Drive, Maryville, IL 62062

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