Ayla D'Ambrosio
Individual provider Active NPI Physical Therapist · Atco, NJ
NPI 1073483962 · NPPES record last updated Nov 14, 2025
Key facts
- NPI
- 1073483962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA0238400 (NJ)
- Practice address
- 501 5TH St Ste 1
Atco, NJ 08004-1861 - Phone
- (856) 768-3811
- NPI assigned
- Nov 6, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2144 Route 130
Suite 12
Bordentown, NJ 08505
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251230000012 | NJ | Practitioner - Physical Therapist in Private Practice | 9133615131 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA0238400 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT Inc | Current |
Accepting new patients | |
| Osprey Rehabilitation, LLC. | Current |
Accepting new patients | |
| Osprey Rehabilitation, LLC. | Physical Therapist | Current |
Accepting new patients |
| Rehabclinics SPT, Inc. | Current |
Accepting new patients | |
| Rehabclinics SPT Inc | Past |
Accepting new patients |
Locations
501 5th St
Ste 1
Atco, NJ 08004
Phone (856) 768-3811
2144 US Highway 130
Ste 12
Bordentown, NJ 08505
Phone (609) 324-9320
127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA0238400 | NJ | Yes |
Addresses
Primary practice location
501 5TH St Ste 1
Atco, NJ 08004-1861
Mailing address
138 Kingsbridge Dr
Lumberton, NJ 08048-5023
Other providers in Atco, NJ
- Robert Cavallaro
- Tonette Clark
- Joseph Clements
- Comprehensive Foot & Ankle Center of South Jersey LLC
- Carissa Nicole Court
- Asia Davy
- Daybreak Treatment Care
- Tracy Decristofaro
- Lilia G Diaz
- Shanelle Diaz
All providers in Atco, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.