Individual provider Active NPI

Seema Ambady, PT

  • Physical Therapist
  • West Chester, PA
National Provider Identifier
1376796557
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0300518 Issued in PA
Practice address
117 Stone Fence Rd
West Chester, PA 19382-6115
Phone
(201) 403-5904
NPI assigned
Oct 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 40QA01056900 NJ
Orthopedic Physical Therapist 2251X0800X 40QA01056900 NJ
Physical Therapist 225100000X PT0300518 PA Primary

Addresses

Primary practice location

117 Stone Fence Rd
West Chester, PA 19382-6115

Mailing address

117 Stone Fence Rd
West Chester, PA 19382-6115
Phone (201) 403-5904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090211000307 NJ Practitioner - Physical Therapist in Private Practice 0840355657 Reassigns benefits to 2 organizations
I20231010000262 PA Practitioner - Physical Therapist in Private Practice 0840355657 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01056900NJMDContractor
PT0300518PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgewood Physical Therapy and Rehabilitation Center Inc. CurrentSince Feb 1, 2011 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Oct 1, 2023 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. Physical Therapist Current Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Oct 1, 2023 Accepting new patients
The Rebound Group, LLC Physical Therapist CurrentSince Dec 10, 2011 Accepting new patients

Locations

233 Rock Rd
#236
Glen Rock, NJ 07452
Phone (201) 345-7044

104 Chestnut St
Ridgewood, NJ 07450
Phone (201) 493-8111

106 Prospect St
Ridgewood, NJ 07450
Phone (201) 493-8111

101 Applied Bank Blvd
Ste D4
Glen Mills, PA 19342
Phone (610) 459-2731

Organizations & group practices 5

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": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1376796557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 STONE FENCE RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193826115",
            "telephone_number": "201-403-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 STONE FENCE RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193826115",
            "telephone_number": "201-403-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBADY",
        "first_name": "SEEMA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NJ",
            "license": "40QA01056900",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01056900",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT0300518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.