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

Thaddeus Gibson, PTDPT

Individual provider Physical Therapist · NPI 1922666395

Thaddeus Gibson, PTDPT is a Physical Therapist in Private Practice in West Seneca, New York. Qualified in 2018, 8 years ago. Practices with Buffalo Rehab Group Physical Therapy and Occupational Therapy PC, a 80-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019

Practice location Address checks out

2100 Union Rd
West Seneca, NY 14224-1400
Phone: (716) 656-8600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 043880 (NY)

Record details

NPI number1922666395
Entity typeIndividual (Type 1)
GenderMale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedMay 31, 2019
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021
Mailing addressBox 8000 Department 314, Buffalo, NY 14267-0002

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Buffalo Rehab Group Physical Therapy And Occupational Therapy Pc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Seneca