Individual provider Active NPI

Joanne Ambrogi, PT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1497797989
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1001634 Issued in DE
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

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1000037826MedicaidDE
1440690OtherPABS
61989602OtherCAREFIRST/NCA
11795622OtherCAQH
2181847000OtherAMERIHEALTH
5070-0023OtherCAREFIRST/FEDERAL
2107808OtherMAMSI

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

LicenseStateTypeSpecialty
J1001634DEMDPhysical Therapist
PT015364PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.