Individual provider Active NPI

Aleli T. Gamboa, RPT

  • Physical Therapist
  • Richmond Hill, NY
National Provider Identifier
1255417622
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027490 Issued in NY
Practice address
8717 102ND St
Apt A9
Richmond Hill, NY 11418-2026
Phone
(646) 226-5006
NPI assigned
Oct 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 027490 NY Primary

Addresses

Primary practice location

8717 102ND St
Apt A9
Richmond Hill, NY 11418-2026

Mailing address

8717 102ND St
Apt A9
Richmond Hill, NY 11418-2026
Phone (646) 226-5006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061208000202 NY Practitioner - Physical Therapist in Private Practice 8426057019 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prokinetics Physical Therapy P.C. Physical Therapist CurrentSince Oct 3, 2023 Accepting new patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince Oct 3, 2023 Accepting new patients
Aleli Gamboa Physical Therapy PLLC Physical Therapist CurrentSince May 15, 2011 Accepting new patients

Locations

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

70 Avenue O
Brooklyn, NY 11204
Phone (347) 415-1565

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1255417622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 102ND ST",
            "address_2": "APT A9",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182026",
            "telephone_number": "646-226-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 102ND ST",
            "address_2": "APT A9",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182026",
            "telephone_number": "646-226-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "ALELI",
        "middle_name": "T.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.