Maria Lynn Gambone, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT025238 Issued in PA

Practice address

1200 Constitution Ave
Philadelphia, PA 19112-1329

Phone

(267) 592-3190

Fax

(215) 468-1850

NPI assigned

Jun 6, 2007

Last updated

Feb 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1215130422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CONSTITUTION AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121329",
            "telephone_number": "267-592-3190",
            "fax_number": "215-468-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CONSTITUTION AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121329",
            "telephone_number": "267-592-3190",
            "fax_number": "215-468-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBONE",
        "first_name": "MARIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01246000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015607",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Gamble
• Susan Gamble, DPM
• Joanne Gambo, CRNP
• Luis Ledesma Gamboa, M.D.
• Elizabeth Kaberle Gambogi, MD
• Ellen Gambrah, NP
• Courtney Cierra Gambrell, LPC
• Krystal Gamez, PSYD
• Devki Gami, MD
• Vincent John Gamuzza, O.D.

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.