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

Raven Gibson, PT, DPT

Individual provider Physical Therapist · NPI 1346166212

Raven Gibson, PT, DPT is a Physical Therapist in Private Practice in Indianapolis, Indiana. Qualified in 2025, 1 year ago. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2026
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

7424 Shadeland Station Way
Indianapolis, IN 46256-3925
Phone: (317) 912-4620
Fax: (317) 912-4621
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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 05016379A (IN)

Record details

NPI number1346166212
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 25, 2026
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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