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

Mr. Jose L Gamboa Jr., PTA

Individual provider Geriatric Physical Therapist · NPI 1114549920

Mr. Jose L Gamboa Jr., PTA is a Geriatric Physical Therapist in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.

Licensed in
OK
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

9700 Mashburn Blvd
Oklahoma City, OK 73162-5509
Phone: (405) 721-2466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 2694 (OK)

Record details

NPI number1114549920
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 14, 2020
Last updated in NPPESMay 14, 2020
Certification dateMay 14, 2020

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