Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB AVERY GOMOKE, PT
ActiveMR. JACOB AVERY GOMOKE, PT is a Physical Therapy Assistant healthcare provider located in SUFFOLK, Virginia. NPI 1477744373 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SUFFOLK, VA
Registration Details
- NPI Number
- 1477744373
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2007 (19.03614758138 yrs)
- Last Updated
- Aug 6, 2007
- License
-
2305202181 (VA)
Practice Information
- Address
-
5818 HARBOUR VIEW BLVD # DSUITE 150SUFFOLK, VA, 234353315Browse VA providers · Browse ZIP 23435
- Phone
- 7576381800
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SUFFOLK, VA
| Name | Credential | NPI |
|---|---|---|
| SARAH-RUTH H CONBOY | PT, DPT | 1851350813 |
| MICHAEL F JEFFERIES | PT | 1740234798 |
| MR. CARL FRANCIS BRUNO | PT | 1972542017 |
| CURTIS BECKER | PT | 1609810266 |
| MARIA LYALL | PT | 1336168475 |
| CRAIG D ALLEN | PT | 1548282767 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.