DR. JENNIFER GIBBONS (DPT) – Physical Therapist, NPI 1154605079

DR. JENNIFER GIBBONS (DPT) is a healthcare provider. based in Woburn, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1792-1 (MA). The NPI Number for DR. JENNIFER GIBBONS (DPT) is 1154605079

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER GIBBONS (DPT)
NPI
1154605079
Phone
(781) 782-1300
Address
150 PRESIDENTIAL WAY
Enumeration Date
11 October 2011
Last Update Date
23 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817821300
Graduation Year
2007 (19 years ago)
PAC ID
5193991156
Group Practice PAC ID
0648241414
Professional Enrollment ID
I20111222000424
Address ID
MA018013342WO200XXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for DR. JENNIFER GIBBONS (DPT)

  • 150 PRESIDENTIAL WAY

    EXCEL ORTHOPEDIC SPECIALISTS

    WOBURN, MA 018011122

    Phone: (781) 782-1300

    Fax: (781) 782-1350

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111222000424IPhysical Therapist In Private PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes1,084108$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,015111$0
97016Application of blood vessel compression device31136$0
97162Evaluation for physical therapy, typically 30 minutes10393$0
View full utilization report →

Insurance plans in this area (ZIP 01801)

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Provider's Procedures

DR. JENNIFER GIBBONS (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMA97001Physical therapy evaluation9587
PHYSICAL THERAPYMA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes64994

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648241414View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
-MA
Physician AssistantMA
Physician AssistantMA
Physician AssistantIL
Occupational Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
-MA
-MA

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Frequently asked questions

Is DR. JENNIFER GIBBONS (DPT) listed with a National Provider Identifier?
Yes — DR. JENNIFER GIBBONS (DPT) has NPI 1154605079 on file in the registry.
Active or inactive — what applies to DR. JENNIFER GIBBONS (DPT)?
You should see DR. JENNIFER GIBBONS (DPT) as active in CMS-hosted NPPES data.
How would a patient describe DR. JENNIFER GIBBONS (DPT)'s focus?
For DR. JENNIFER GIBBONS (DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is DR. JENNIFER GIBBONS (DPT) located near Woburn?
DR. JENNIFER GIBBONS (DPT) currently maps to Woburn, Massachusetts in this extract.
Does DR. JENNIFER GIBBONS (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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