Elyssa Ann Gibbons, DPT
NPI 1447923313ActiveIndividual· Physical Therapist· Boonville, MO
Physical Therapist (DPT) with Boone Physician Services LLC and 1 other group, practicing in Boonville, Missouri. Medicare paid $28,267 for services to 105 patients in 2024.
Overview
| NPI | 1447923313 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Jul 27, 2021 |
| Last updated in NPPES | Jul 27, 2021 |
| Certified by provider | Jul 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2017026630 | MO |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 105 |
|---|---|
| Services billed | 1,341 across 8 procedure codes |
| Paid by Medicare | $28,267 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Boone Physician Services LLCColumbia, MO · 250 clinicians
- Central Missouri Physical Therapy LLCColumbia, MO · 62 clinicians
Other Physical Therapist providers in Boonville
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- 1003811258
- 1598045536