Individual provider · Type 1 NPI

Tia Gibbs

Contractor · Jamaica, NY

NPI number 1104776855 Active

Practice location

21623 132nd Rd
Jamaica, NY 11413-1516

Call (516) 435-1017 Map

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1104776855

Tia Gibbs's National Provider Identifier is 1104776855, issued on Feb 2, 2026. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Jamaica, NY. The record was last updated on Feb 2, 2026.