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NPISignal

Individual Healthcare Provider

Jessilyn Gibas

NPI Record: ActivePhysical Therapist
NPI1023624269
Wells, Maine

Provider's NPPES record last updated: August 12, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1023624269
Primary Specialty
Physical Therapist
Practice Location
Wells, Maine
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:07 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physical Therapist

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    Primary

    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

    Taxonomy code 225100000X

Provider-Reported License Information

Physical Therapist (Maine)
PT7206
Physical Therapist (Illinois)
070.025477
Physical Therapist (Virginia)
2305216863
Physical Therapist (Indiana)
05015741A
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

45 Wells Plz Ste 10

Wells, Maine 04090-4146

Phone: (207) 641-2292

Additional Practice Location

6300 Kingery Hwy Ste 204

Willowbrook, Illinois 60527-2326

Phone: (630) 891-3980

Additional Practice Location

1675 N National Rd Ste D

Columbus, Indiana 47201-5501

Phone: (812) 799-1257

Fax: (812) 799-1258

Additional Practice Location

138 Stoneridge Dr N Ste 4

Ruckersville, Virginia 22968-3063

Phone: (434) 985-2288

Record Information

Enumeration Date
September 22, 2020
Provider's NPPES Record Last Updated
August 12, 2025
Certification Date
August 12, 2025
NPISignal NPPES Dataset
August 2026

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