Active NPI
Joanne Gamble, PT, DPT
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1003370636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5731 Cottonworth Ave
Baltimore, MD 21209-3723 - Phone
- (410) 708-4763
- NPI assigned
- Jan 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
5731 Cottonworth Ave
Baltimore, MD 21209-3723
Mailing address
5731 Cottonworth Ave
Baltimore, MD 21209-3723
Other practice location 1
11270 Pepper Rd Ste 4
Hunt Valley, MD 21031-1202
Phone (410) 771-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27355 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1003370636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5731 COTTONWORTH AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5731 COTTONWORTH AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093723",
"telephone_number": "410-708-4763"
}
],
"practiceLocations": [
{
"address_1": "11270 Pepper Rd Ste 4",
"address_purpose": "LOCATION",
"city": "Hunt Valley",
"state": "MD",
"postal_code": "210311202",
"country_code": "US",
"telephone_number": "410-771-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAMBLE",
"first_name": "JOANNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.