Active NPI
Margarito Antonio Uribe Ampo, PT
- Pediatric Physical Therapist
- Staten Island, NY
National Provider Identifier
1639323322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 028275
- Practice address
- 169 Academy Ave
Staten Island, NY 10309-3215 - Phone
- (347) 983-4047
- NPI assigned
- Nov 8, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 028275 | NY | Primary |
Addresses
Primary practice location
169 Academy Ave
Staten Island, NY 10309-3215
Mailing address
169 Academy Ave
Staten Island, NY 10309-3215
Phone (347) 983-4047
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028275 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226102400000",
"number": "1639323322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 ACADEMY AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093215",
"telephone_number": "347-983-4047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 ACADEMY AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093215",
"telephone_number": "347-983-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMPO",
"first_name": "MARGARITO ANTONIO",
"middle_name": "URIBE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-08",
"last_updated": "2008-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "028275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.