Active NPI
Amy Tremback-Ball, PHD, PT
- Pediatric Physical Therapist
- Peckville, PA
National Provider Identifier
1427213644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT-010998-L
- Practice address
- 317 Rose St
Peckville, PA 18452-2231 - Phone
- (570) 383-7096
- NPI assigned
- Jul 28, 2008
- Last updated
- Jul 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT-010998-L | PA | Primary |
Addresses
Primary practice location
317 Rose St
Peckville, PA 18452-2231
Mailing address
317 Rose St
Peckville, PA 18452-2231
Phone (570) 383-7096
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-010998-L | PA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Pediatrics, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Peckville, PA
- NPI 1912143660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1427213644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 ROSE ST",
"city": "PECKVILLE",
"state": "PA",
"postal_code": "184522231",
"telephone_number": "570-383-7096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 ROSE ST",
"city": "PECKVILLE",
"state": "PA",
"postal_code": "184522231",
"telephone_number": "570-383-7096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREMBACK-BALL",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "PHD, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-28",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "PA",
"license": "PT-010998-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peckville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.