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

Stacy Y Gibson, DPT

Individual provider Physical Therapist · NPI 1407283872

Stacy Y Gibson, DPT is a Physical Therapist in Private Practice in Southfield, Michigan. Qualified in 2009, 17 years ago. Practices with Michigan Rehabilitation Specialists of Fowlerville LLC, a 125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2013
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

29900 Southfield Rd
Southfield, MI 48076-2090
Phone: (248) 663-0400
Fax: (248) 621-5003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1570 Kingsway Ct, Trenton, MI 48183-1960 — (734) 676-7400

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501015308 (MI)

Record details

NPI number1407283872
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 1, 2013
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Michigan Rehabilitation Specialists Of Fowlerville Llc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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