MR. JOSE L GAMBOA JR. PTA
NPI 1114549920
Physical Therapist - Geriatrics in Oklahoma City, OK

NPI Status: Active since May 14, 2020

Contact Information

9700 MASHBURN BLVD
OKLAHOMA CITY, OK
ZIP 73162
Phone: (405) 721-2466

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  • Individual
  • Male
  • Physical Therapist
  • Geriatrics

About JOSE GAMBOA

This page provides the complete NPI Profile along with additional information for Jose Gamboa, a provider established in Oklahoma City, Oklahoma with a medical specialization in Physical Therapist, focusing in geriatrics . The healthcare provider is registered in the NPI registry with number 1114549920 assigned on May 2020. The practitioner's primary taxonomy code is 2251G0304X with license number 2694 (OK). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1114549920
Provider Name
MR. JOSE L GAMBOA JR. PTA
Gender
Male
Entity Type
Individual
Location Address
9700 MASHBURN BLVD OKLAHOMA CITY, OK 73162
Location Phone
(405) 721-2466
Mailing Address
9017 N UNIVERSITY AVE APT 14209 OKLAHOMA CITY, OK 73114
Mailing Phone
(918) 320-1205
Is Sole Proprietor?
No
Enumeration Date
05-14-2020
Last Update Date
05-14-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Geriatrics

Taxonomy Code
2251G0304X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2694
License State
OK
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G082973974OTHER (01)OKDRIVERS LICENSE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114549920
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241041894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 0 + 4 + 1 + 8 + 9 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1114549920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528475837 ALISON BOYD APRN, NP-C
Individual
Nurse Practitioner (Adult Health)9700 MASHBURN BLVD
OKLAHOMA CITY, OK 73162
(405) 721-2466
1710945613BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA, INC.
Organization
Home Health9700 MASHBURN BLVD
OKLAHOMA CITY, OK 73162
(405) 720-2401
1053369090BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OK, INC
Organization
Home Health9700 MASHBURN BLVD
OKLAHOMA CITY, OK 73162
(405) 720-2401
1447253240BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA INC
Organization
Nursing Facility/Intermediate Care Facility9700 MASHBURN BLVD
OKLAHOMA CITY, OK 73162
(405) 721-2466
1659916336 COLLEEN BARNETT RD
Individual
Dietitian, Registered9700 MASHBURN BLVD
OKLAHOMA CITY, OK 73162
(405) 721-2466
1225873797 VANESSA MACAPAGAL GULLEY
Individual
Occupational Therapy Assistant9700 MASHBURN BLVD
OKLAHOMA CITY, OK 73162
(405) 721-2466

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114549920, enumerated in the NPI registry as an "individual" on May 14, 2020

The provider is located at 9700 Mashburn Blvd Oklahoma City, Ok 73162 and the phone number is (405) 721-2466

The provider's speciality is Physical Therapist with taxonomy code 2251G0304X with a focus in Geriatrics

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 14, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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