Organization Active NPI

Ambler Physical Therapy & Sports Rehabilitation LLC

  • Physical Therapist
  • Ambler, PA
National Provider Identifier
1598802431
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AMBLER PHYSICAL THERAPY & SPORTS REHABILITATION LLC
Practice address
45 Forest Ave
Ambler, PA 19002-4523
Phone
(215) 643-9250
Fax
(215) 643-9251
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Dianne M Miller, DPT
Title
Owner
Phone
(215) 643-9250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

45 Forest Ave
Ambler, PA 19002-4523

Mailing address

228 Fulling Mill LN
Ambler, PA 19002-4201
Phone (215) 643-9250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070216000102 PA Part B Supplier - Clinic/Group Practice 5092817387 Receives reassigned benefits from 1 practitioner
Practice locations: Ambler, PA

National Provider Directory

National Provider Directory

Locations

45 Forest Ave
Ambler, PA 19002
Phone (215) 219-0517

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1598802431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 FULLING MILL LN",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190024201",
            "telephone_number": "215-643-9250",
            "fax_number": "215-643-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOREST AVE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190024523",
            "telephone_number": "215-643-9250",
            "fax_number": "215-643-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBLER PHYSICAL THERAPY & SPORTS REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "M MILLER",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-643-9250",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.