Individual provider Active NPI

Lena D'Ambrosio, DPT

  • Physical Therapist
  • Torrington, CT
National Provider Identifier
1649698929
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035941-1 Issued in NY
Practice address
30 Peck Rd
Suite 1101
Torrington, CT 06790-6123
Phone
(860) 489-0867
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 035941-1 NY Primary

Addresses

Primary practice location

30 Peck Rd
Suite 1101
Torrington, CT 06790-6123

Mailing address

144 Cedar Rd
Kings Park, NY 11754-3205
Phone (631) 275-7631

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160519000965 CT Practitioner - Physical Therapist in Private Practice 3779893458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maletta Pfeiffer and Associates, L.L.C.Group PAC ID 0446284178, 9 clinicians

Practice addresses (Care Compare)

30 Peck Rd
Suite 1101
Torrington, CT 06790-6123
Phone (860) 489-0867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035941-1NYMDPhysical Therapist
035941NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maletta Pfeiffer & Associates, L.L.C. CurrentSince May 2, 2016 Accepting new patients
Maletta Pfeiffer & Associates, L.L.C. CurrentSince May 2, 2016 Accepting new patients

Locations

245 Alvord Park Rd
Torrington, CT 06790
Phone (860) 482-8539

30 Peck Rd
Ste 1101
Torrington, CT 06790
Phone (860) 489-0867

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1649698929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 CEDAR RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543205",
            "telephone_number": "631-275-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PECK RD",
            "address_2": "SUITE 1101",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906123",
            "telephone_number": "860-489-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMBROSIO",
        "first_name": "LENA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035941-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.