Jacob Randel Gamble

Physical Therapy Assistant · Newberry, FL

Individual Active NPI

NPI number 1205502762

Practice location

13559 NW 1st Ln
Newberry, FL 32669-3473
Phone
(325) 558-3189

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NPI record

NPI
1205502762
Entity type
Individual (Type 1)
Enumeration date
August 16, 2021
Last updated
October 31, 2023
Certified
October 31, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA29237 FL

Other practice locations (1)

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

About Jacob Gamble

Jacob Randel Gamble is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 13559 NW 1st Ln, Newberry, FL 32669-3473. The NPI number 1205502762 was assigned on August 16, 2021 and the record was last updated on October 31, 2023.

Jacob Gamble lists a license in the registry: #PTA29237 (FL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob Randel Gamble?

The NPI number is 1205502762.

What is the phone number of Jacob Gamble?

The phone number listed for the practice location is (325) 558-3189.

Where is Jacob Gamble located?

13559 NW 1st Ln, Newberry, FL 32669-3473.

What is the taxonomy code for Jacob Gamble?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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