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

Samantha Olive Gibbard, DPT

Individual provider Physical Therapist · NPI 1457090516

Samantha Olive Gibbard, DPT is a Physical Therapist in Private Practice in Cheyenne, Wyoming. Qualified in 2022, 4 years ago. Practices with Smart Sports Medicine LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
4
Licensed in
WY
In the registry since
2022
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

5307 Yellowstone Rd
Cheyenne, WY 82009-4736
Phone: (307) 632-7677
Fax: (307) 778-8292
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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 2170 (WY)

Record details

NPI number1457090516
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 27, 2022
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Smart Sports Medicine Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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