Active NPI
Orlando Gio Gamboa Villanueva, P.T., D.P.T., A.T.C.
- Physical Therapist
- Sitka, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2264
- Practice address
- 222 Tongass Dr
Sitka, AK 99835-9416 - Phone
- (907) 966-8576
- NPI assigned
- Apr 10, 2007
- Last updated
- Aug 19, 2011
- Sex
- Male
- 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 | 2264 | AK | Primary |
Addresses
Primary practice location
222 Tongass Dr
Sitka, AK 99835-9416
Mailing address
222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-8576
Other names 1
- Dr. Gio G. Villanueva
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 |
|---|---|---|---|
| 2264 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South East Alaska Regional Health Consortium | Current | Accepting new patients | |
| Santa Fe Indian Hospital | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients |
Locations
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519
400 State Road 30
Espanola, NM 87532
Phone (505) 753-8393
1700 Cerrillos Rd
Santa Fe, NM 87505
Phone (505) 946-9206
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kake Health Center
- Clinic/Center
- Kake, AK
- NPI 1114973849
-
dba Thorne Bay Health Clinic
- Clinic/Center
- Thorne Bay, AK
- NPI 1376758037
-
dba SEARHC Specialty Care Clinic- Salmon Creek
- Clinic/Center
- Juneau, AK
- NPI 1427941343
-
dba Santa Fe Indian Health Center
- Federal Public Health Clinic/Center
- Santa Fe, NM
- NPI 1285613836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313712000000",
"number": "1972726743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 TONGASS DR",
"city": "SITKA",
"state": "AK",
"postal_code": "998359416",
"telephone_number": "907-966-8576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 TONGASS DR",
"city": "SITKA",
"state": "AK",
"postal_code": "998359416",
"telephone_number": "907-966-8576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "ORLANDO GIO",
"middle_name": "GAMBOA",
"name_prefix": "Dr.",
"credential": "P.T., D.P.T., A.T.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2011-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "2264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GIO",
"last_name": "VILLANUEVA",
"middle_name": "G.",
"prefix": "DR.",
"credential": "P.T., D.P.T., A.T.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Sitka, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.