Individual provider Active NPI

Jennifer Lam-Ambler, PT, DPT

  • Specialist
  • Peoria, AZ
National Provider Identifier
1104845031
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7294 Issued in AZ
Practice address
8685 W Union Hills Dr
Suite 600
Peoria, AZ 85382-7006
Phone
(623) 486-2331
Fax
(623) 486-3136
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7294 AZ Primary

Addresses

Primary practice location

8685 W Union Hills Dr
Suite 600
Peoria, AZ 85382-7006

Mailing address

11753 W. Avenida del Sol
Sun City, AZ 85373
Phone (623) 444-5396

Other names 1

  • Jennifer Lam Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
SLK Inc Specialist PastSince Jun 8, 2015 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1104845031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11753 W. AVENIDA DEL SOL",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "85373",
            "telephone_number": "623-444-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8685 W UNION HILLS DR",
            "address_2": "SUITE 600",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827006",
            "telephone_number": "623-486-2331",
            "fax_number": "623-486-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM-AMBLER",
        "first_name": "JENNIFER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "7294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LAM",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.