Individual provider Active NPI

Robert M. Kamb, PTA

  • Physical Therapy Assistant
  • Albuquerque, NM
National Provider Identifier
1639876253
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PT-2023-0018 Issued in NM
Practice address
8616 Menaul Blvd NE Ste a
Albuquerque, NM 87112-2262
Phone
(505) 292-4784
NPI assigned
Feb 14, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PT-2023-0018 NM Primary

Addresses

Primary practice location

8616 Menaul Blvd NE Ste a
Albuquerque, NM 87112-2262

Mailing address

1941 Roanoke Dr NE
Rio Rancho, NM 87144-5535
Phone (505) 401-5221

Other identifiers 1

IdentifierTypeStateIssuer
5059598860OtherNMNEW MEXICO MVD

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

LicenseStateTypeSpecialty
PT-2023-0018NMMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Armada Physical Therapy of Albuquerque LLC CurrentSince Feb 19, 2023 Accepting new patients

Locations

8616 Menaul Blvd NE
Ste A
Albuquerque, NM 87112
Phone (505) 292-4784

Organizations & group practices 1

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1639876253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 ROANOKE DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871445535",
            "telephone_number": "505-401-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 MENAUL BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122262",
            "telephone_number": "505-292-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMB",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "PT-2023-0018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO MVD",
            "identifier": "5059598860",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.