GABRIELLE GAMBOA
NPI 1255227856
Physical Therapist in Bronx, NY

Active since June 18, 2025
111 E 210TH ST, BRONX, NY 10467(718) 920-5731 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gabrielle Gamboa NPPES

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

GABRIELLE GAMBOA (NPI 1255227856) is an individual physical therapist in Bronx, New York, licensed in New York (052661) and active in the NPI registry since June 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1255227856
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameGABRIELLE GAMBOA
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address8053 Galaxy WayDublin, CA 94568-1869 · (925) 858-6370
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1255227856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 052661
Definition
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:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • 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.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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.
111 E 210TH ST, Bronx, NY 10467

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gabrielle Gamboa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911490826
PECOS Enrollment IDI20251129000689

Medicare Billing Reassignment

Medicare enrollment records show Gabrielle Gamboa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467

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 Gabrielle Gamboa's NPI number?

The NPI number for Gabrielle Gamboa is 1255227856. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Gabrielle Gamboa located?

Gabrielle Gamboa practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-5731.

What is Gabrielle Gamboa's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Gabrielle Gamboa enrolled in Medicare?

Yes. Gabrielle Gamboa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gabrielle Gamboa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabrielle Gamboa reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gabrielle Gamboa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gabrielle Gamboa was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.