Lydia Gibson
NPI 1316327067ActiveIndividual· Physical Therapist· Blue Springs, MO
Physical Therapist with Athletico Ltd, practicing in Blue Springs, Missouri. Medicare paid $30,539 for services to 42 patients in 2024.
Overview
| NPI | 1316327067 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 8, 2015 |
| Last updated in NPPES | Aug 6, 2020 |
| Certified by provider | Aug 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2020023285 | MO |
| Physical Therapist | 225100000X | 11-06503 | KS |
| Physical Therapy Assistant | 225200000X | 14-02859 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (KS); Practitioner - Physical Therapist in Private Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 1,324 across 14 procedure codes |
| Paid by Medicare | $30,539 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Athletico LtdOttawa, IL · 2,200 clinicians
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