Active NPI
Robert M. Kamb, PTA
- Physical Therapy Assistant
- Albuquerque, NM
National Provider Identifier
1639876253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PT-2023-0018
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5059598860 | Other | NM | NEW 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-2023-0018 | NM | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Armada Physical Therapy of Albuquerque LLC | Current | 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.
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1851713663
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.