Healthcare Provider Details

I. General information

NPI: 1881538759
Provider Name (Legal Business Name): DR. SHELBY MCGIBNEY, PELVIC HEALTH PHYSICAL THERAPIST, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 CHENERY ST
SAN FRANCISCO CA
94131-2707
US

IV. Provider business mailing address

98 CHENERY ST
SAN FRANCISCO CA
94131-2707
US

V. Phone/Fax

Practice location:
  • Phone: 510-255-1796
  • Fax:
Mailing address:
  • Phone: 510-255-1796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHELBY MCGIBNEY
Title or Position: FOUNDER & CEO
Credential: PT, DPT.
Phone: 207-629-8644