Michael Tronto Tamburello, PT, ECS, PHD

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

License

2305001173 Issued in VA

Practice address

725 Volvo Pkwy Ste 210
Chesapeake, VA 23320-1621

Phone

(757) 252-4130

Fax

(757) 554-0991

NPI assigned

Jan 23, 2019

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Male

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

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  Medicare reassignment Care Compare group NPD
• Electrophysiologic Testing and Physical Therapy Services

  • Clinical Electrophysiology Physical Therapist
  • Chesapeake, VA
  • NPI 1316401359

  Electrophysiology, Clinical

  NPD Authorized official

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1265996292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MEETING HOUSE LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234557003",
            "telephone_number": "757-424-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 VOLVO PKWY STE 210",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201621",
            "telephone_number": "757-252-4130",
            "fax_number": "757-554-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBURELLO",
        "first_name": "MICHAEL",
        "middle_name": "TRONTO",
        "name_prefix": "Dr.",
        "credential": "PT, ECS, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "VA",
            "license": "2305001173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Domingo C Tan, M.D.
• Valiant D Tan, MD
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• Physical Therapist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.