Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Randel Gamble

Individual provider Physical Therapy Assistant · NPI 1205502762

Jacob Randel Gamble is a Physical Therapy Assistant in Newberry, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

13559 NW 1st Ln
Newberry, FL 32669-3473
Phone: (325) 558-3189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 — (352) 382-7214

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA29237 (FL)

Record details

NPI number1205502762
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 16, 2021
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address13559 Nw 1st Ln, Newberry, FL 32669-3473

Other providers in Newberry