Individual provider Active NPI

Cheryl Ambroza, PT

  • Physical Therapist
  • Dexter, MI
National Provider Identifier
1144512658
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015490 Issued in MI
Practice address
7057 Dexter Ann Arbor Rd
Dexter, MI 48130-8568
Phone
(734) 426-3768
Fax
(734) 426-1406
NPI assigned
May 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501015490 MI Primary

Addresses

Primary practice location

7057 Dexter Ann Arbor Rd
Dexter, MI 48130-8568

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

3256 Washtenaw Ave
Ann Arbor, MI 48104-4250
Phone (734) 975-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110824000224 MI Practitioner - Physical Therapist in Private Practice 7315981586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Rehabilitation Specialists of Fowlerville LLC 125 clinicians

Practice addresses (Care Compare)

7057 Dexter Ann Arbor Rd
Dexter, MI 48130-8568
Phone (734) 426-3768

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501015490MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Jan 15, 2024 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Jan 15, 2024 Accepting new patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist PastSince Sep 13, 2021 Accepting new patients
Advance Sports & Spine Therapy LLC Physical Therapist Past Accepting new patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

2625 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 585-3313

4765 Jackson Rd
Ste B
Ann Arbor, MI 48103
Phone (734) 926-4710

1110 S Main St
Chelsea, MI 48118
Phone (734) 593-3074

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

7057 Dexter Ann Arbor Rd
Dexter, MI 48130
Phone (734) 426-1406

2810 Baker Rd
#101
Dexter, MI 48130
Phone (734) 424-9710

9604 Chilson Cmns
Pinckney, MI 48169

1201 E Main St
Ste A
Pinckney, MI 48169
Phone (734) 648-0138

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

Organizations & group practices 6

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": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1144512658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7057 DEXTER ANN ARBOR RD",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481308568",
            "telephone_number": "734-426-3768",
            "fax_number": "734-426-1406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3256 Washtenaw Ave",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481044250",
            "country_code": "US",
            "telephone_number": "734-975-9100",
            "fax_number": "734-975-9101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMBROZA",
        "first_name": "CHERYL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.