Joyce Ambrosia, MPT
Individual provider Active NPI Physical Therapist · Reseda, CA
NPI 1467701110 · NPPES record last updated Aug 20, 2021
Key facts
- NPI
- 1467701110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT39141 (CA)
- Practice address
- 18039 Sherman Way
Reseda, CA 91335-4630 - Phone
- (818) 343-4303
- Fax
- (818) 343-4484
- NPI assigned
- Sep 7, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vargo Physical Therapy, Inc.
Practice addresses (Care Compare)
11225 Tampa Ave
Northridge, CA 91326-1610
Phone (818) 363-9970
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130422000053 | CA | Practitioner - Physical Therapist in Private Practice | 9032355953 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39141 | CA | MD | Dentist |
| PT39141 | CA | MD | Physical Therapist |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vargo Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
| Vargo Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Vargo Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
3425 W Victory Blvd
Burbank, CA 91505
Phone (818) 955-8855
27125 Sierra Hwy
Ste 203
Canyon Country, CA 91351
Phone (661) 250-9940
11225 Tampa Ave
Porter Ranch, CA 91326
Phone (818) 363-9970
18039 Sherman Way
Reseda, CA 91335
Phone (818) 708-8100
25115 Avenue Stanford
Ste B135
Valencia, CA 91355
Phone (661) 250-9940
25115 Avenue Stanford
#B135
Valencia, CA 91355
7320 Woodlake Ave
Ste 140
West Hills, CA 91307
Phone (818) 638-9639
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT39141 | CA | Yes |
Addresses
Primary practice location
18039 Sherman Way
Reseda, CA 91335-4630
Mailing address
25115 Avenue Stanford Ste B135
Valencia, CA 91355-1290
Phone (661) 250-9940
Other providers in Reseda, CA
- Rodolfo Alvarado
- Tammy M Alvarez
- Anthony J. Amado
- Isela Amaya
- Sheenie Ambardar
- American General Hospice Care Inc
- American Premier Laboratory
- Amerihealth Home Health
- Ameriprime Hospice Inc.
- Sam Amirmoazzami
All providers in Reseda, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.