National Provider Identifier Database

JOSE L GAMBOA JR, PTA – NPI #1114549920
Geriatrics

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.


Contact Information

JOSE L GAMBOA JR, PTA
9700 MASHBURN BLVD
OKLAHOMA CITY, OK73162-5509
Phone: 405-721-2466
Fax:
Website:
Specialty Taxonomy Code
* Geriatrics 2251G0304X

* Indicates primary specialty

NPI Profile & details for JOSE L GAMBOA JR

NPI Number 1114549920
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 05/14/2020
Last updated 05/14/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • OK License #: 2694
  • OK Other: G082973974 DRIVERS LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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