Jennifer Braun Ambos, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT-06048 Issued in OH

Practice address

25 S Tippecanoe Dr
Tipp City, OH 45371-1167

Phone

(937) 669-5757

NPI assigned

Jun 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kettering Sports Medicine

  • General Acute Care Hospital
  • Tipp City, OH
  • NPI 1346686144
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134322928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9845 THOMPSON SCHIFF RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453658438",
            "telephone_number": "937-497-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S TIPPECANOE DR",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711167",
            "telephone_number": "937-669-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBOS",
        "first_name": "JENNIFER",
        "middle_name": "BRAUN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT-06048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Tipp City, OH
• Providers in Tipp City, OH by specialty
• Orthopedic Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.