Active NPI
Joanne Ambrogi, PT
- Physical Therapist
- Wilmington, DE
National Provider Identifier
1497797989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1001634
- Practice address
- 2000 Pennsylvania Ave
Suite 208
Wilmington, DE 19806-2450 - Phone
- (610) 368-1006
- NPI assigned
- Jun 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1001634 | DE | Primary |
| Physical Therapist | 225100000X | PT015364 | PA |
Addresses
Primary practice location
2000 Pennsylvania Ave
Suite 208
Wilmington, DE 19806-2450
Mailing address
2101 Coventry Dr
Wilmington, DE 19810-3919
Phone (610) 368-1006
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000037826 | Medicaid | DE | |
| 1440690 | Other | PABS | |
| 61989602 | Other | CAREFIRST/NCA | |
| 11795622 | Other | CAQH | |
| 2181847000 | Other | AMERIHEALTH | |
| 5070-0023 | Other | CAREFIRST/FEDERAL | |
| 2107808 | Other | MAMSI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1001634 | DE | MD | Physical Therapist |
| PT015364 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambrogi Integrative Health Services, Inc | Physical Therapist | Past | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Wilmington, DE
- NPI 1104166461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1497797989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 COVENTRY DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198103919",
"telephone_number": "610-368-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 PENNSYLVANIA AVE",
"address_2": "SUITE 208",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198062450",
"telephone_number": "610-368-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBROGI",
"first_name": "JOANNE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1001634",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT015364",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000037826",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PABS",
"identifier": "1440690",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST/NCA",
"identifier": "61989602",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11795622",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "2181847000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST/FEDERAL",
"identifier": "5070-0023",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2107808",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.