Individual provider Active NPI

Thomas Michael Gambone, P.T.

  • Physical Therapist
  • Cuyahoga Falls, OH
National Provider Identifier
1467543454
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2545 Issued in OH
Practice address
503 Portage TRL
Cuyahoga Falls, OH 44221-3229
Phone
(330) 929-1119
Fax
(330) 929-1491
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2545 OH Primary

Addresses

Primary practice location

503 Portage TRL
Cuyahoga Falls, OH 44221-3229

Mailing address

16082 Mock Rd
Berlin Center, OH 44401-9762
Phone (330) 547-2300

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

LicenseStateTypeSpecialty
2545OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer L Otto PT Inc Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467543454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16082 MOCK RD",
            "city": "BERLIN CENTER",
            "state": "OH",
            "postal_code": "444019762",
            "telephone_number": "330-547-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213229",
            "telephone_number": "330-929-1119",
            "fax_number": "330-929-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBONE",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "2545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.