Active NPI
Amy Rendell Lombara, PT
- Physical Therapist
- Beverly, MA
National Provider Identifier
1376728691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11342-PT
- Practice address
- 111 Dodge St
Beverly, MA 01915-1827 - Phone
- (978) 921-1182
- NPI assigned
- Jan 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11342-PT | MA | Primary |
Addresses
Primary practice location
111 Dodge St
Beverly, MA 01915-1827
Mailing address
40 Topsfield Rd
Ipswich, MA 01938-2026
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11342-PT | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arc, Inc. | Past | 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.
-
- Early Intervention Provider Agency
- Beverly, MA
- NPI 1629356613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199491200000",
"number": "1376728691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 TOPSFIELD RD",
"city": "IPSWICH",
"state": "MA",
"postal_code": "019382026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DODGE ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151827",
"telephone_number": "978-921-1182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBARA",
"first_name": "AMY",
"middle_name": "RENDELL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-05",
"last_updated": "2008-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11342-PT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.