Active NPI
Gabriella Renee Gamboa
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1710827316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 10455 E Pinnacle Peak Pkwy
Scottsdale, AZ 85255-8173 - Phone
- (480) 669-1444
- NPI assigned
- Mar 31, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | LPT-034560 | AZ | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
10455 E Pinnacle Peak Pkwy
Scottsdale, AZ 85255-8173
Mailing address
6215 N 14TH St Apt a
Phoenix, AZ 85014-1780
Other practice location 1
23733 N Scottsdale Rd
Scottsdale, AZ 85255-4087
Phone (480) 485-8091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9000 E San Victor Dr
Scottsdale, AZ 85258-5051
Phone (623) 299-7784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-034560 | AZ | MD | Geriatric Physical Therapist |
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.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1144954074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1710827316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6215 N 14TH ST APT A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850141780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10455 E PINNACLE PEAK PKWY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852558173",
"telephone_number": "480-669-1444"
}
],
"practiceLocations": [
{
"address_1": "23733 N Scottsdale Rd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852554087",
"country_code": "US",
"telephone_number": "480-485-8091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAMBOA",
"first_name": "GABRIELLA",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-31",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "AZ",
"license": "LPT-034560",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.