Mark Joseph Villanueva Gamboa, - Physical Therapist in St Johnsville, NY

Mark Joseph Villanueva Gamboa, is a Physical Therapist based in St Johnsville, New York. Mark Joseph Villanueva Gamboa is licensed to practice in Connecticut (license number 10430) and his current practice location is 7 Timmerman Ave, St Johnsville, New York. He can be reached at his office (for appointments etc.) via phone at (518) 568-5037.

NPI number for Mark Joseph Villanueva Gamboa is 1619374980 and his current mailing address is 7345 Woodland Drive, Indianapolis, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619374980.

Contact Information

Mark Joseph Villanueva Gamboa,
7 Timmerman Ave,
St Johnsville, NY 13452-1017
(518) 568-5037
(518) 568-7505

Map and Direction




Healthcare Provider's Profile

Full NameMark Joseph Villanueva Gamboa
GenderMale
SpecialityPhysical Therapist
Location7 Timmerman Ave, St Johnsville, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619374980
  • Provider Enumeration Date: 12/02/2014
  • Last Update Date: 06/15/2017

Medical Identifiers

Medical identifiers for Mark Joseph Villanueva Gamboa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619374980NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225100000XPhysical Therapist 10430 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Joseph Villanueva Gamboa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Joseph Villanueva Gamboa,
7345 Woodland Drive,
Indianapolis, IN 46278

Ph: (317) 286-2885
Mark Joseph Villanueva Gamboa,
7 Timmerman Ave,
St Johnsville, NY 13452-1017

Ph: (518) 568-5037

Reviews and Comments


Physical Therapist in St Johnsville, NY

Jerry A Bushey, PT
Physical Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 30 Center St, St Johnsville, NY 13452
Phone: 518-568-0032    Fax: 518-568-0035
Richard White, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7 Timmerman Ave, St Johnsville, NY 13452
Phone: 518-568-5037    Fax: 518-568-7505
Emily Chrisman,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7 Timmerman Ave, St Johnsville, NY 13452
Phone: 518-568-5037    Fax: 518-568-5477
Mrs. Rachael Ann Faulkner, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7 Timmerman Ave, St Johnsville, NY 13452
Phone: 518-568-5037    Fax: 518-568-7505
Therapy Specialists, Pllc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7 Timmerman Ave, St Johnsville, NY 13452
Phone: 518-568-5037    Fax: 518-568-5477
Rebecca Worobey,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 30 Center St, St Johnsville, NY 13452
Phone: 518-568-0032    Fax: 518-568-0035

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.