1. Home
  2. Directory
  3. Oklahoma
  4. City
  5. Physical Therapist
  6. NPI Profile

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

Active since May 14, 2020
9700 MASHBURN BLVD, OKLAHOMA CITY, OK 73162(405) 721-2466 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jose L Gamboa Jr. Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOSE L GAMBOA JR. PTA (NPI 1114549920) is an individual geriatrics provider in Oklahoma City, Oklahoma, licensed in Oklahoma (2694) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1114549920
Entity TypeIndividualMale
Primary Taxonomy2251G0304X
Provider Legal NameMR. JOSE L GAMBOA JR.Credential: PTA
Location Address9700 MASHBURN BLVDOklahoma City, OK 73162-5509
Mailing Address9017 N University Ave Apt 14209Oklahoma City, OK 73114-4312 · (918) 320-1205
Phone(405) 721-2466
Sole ProprietorNo
Enumeration DateMay 14, 2020
NPPES CertifiedMay 14, 2020
✔ NPI 1114549920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in OK · 2694
Definition
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.
9700 MASHBURN BLVD, Oklahoma City, OK 73162
Open in Google Maps ↗

Other Identifiers 1

OtherG082973974OK · Drivers License

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OK, INC
Home Health
9700 MASHBURN BLVD
OKLAHOMA CITY, OK 73162
Oklahoma County (405) 720-2401
VANESSA MACAPAGAL GULLEY
Occupational Therapy Assistant
9700 MASHBURN BLVD
OKLAHOMA CITY, OK 73162
Oklahoma County (405) 721-2466
BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA INC
Nursing Facility/Intermediate Care Facility
9700 MASHBURN BLVD
OKLAHOMA CITY, OK 73162
Oklahoma County (405) 721-2466
ALISON BOYD APRN, NP-C
Nurse Practitioner (Adult Health)
9700 MASHBURN BLVD
OKLAHOMA CITY, OK 73162
Oklahoma County (405) 721-2466
COLLEEN BARNETT RD
Dietitian, Registered
9700 MASHBURN BLVD
OKLAHOMA CITY, OK 73162
Oklahoma County (405) 721-2466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Gamboa's NPI number?

The NPI number for Jose Gamboa is 1114549920. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Jose Gamboa located?

Jose Gamboa practices at 9700 Mashburn Blvd, Oklahoma City, OK 73162. The listed phone number is (405) 721-2466.

What is Jose Gamboa's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Jose Gamboa was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.