Active NPI
Christine Valerie Mendez Ambat, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1689404782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049698-01
- Practice address
- 1345 Avenue of the Americas FL 11
New York, NY 10105-0013 - Phone
- (212) 981-1977
- NPI assigned
- Aug 5, 2024
- Sex
- Female
- 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 Therapist | 225100000X | 049698-01 | NY | Primary |
Addresses
Primary practice location
1345 Avenue of the Americas FL 11
New York, NY 10105-0013
Mailing address
11 Beechland CT
Montrose, NY 10548-1113
Phone (626) 375-1961
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 |
|---|---|---|---|
| 049698-01 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1689404782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BEECHLAND CT",
"city": "MONTROSE",
"state": "NY",
"postal_code": "105481113",
"telephone_number": "626-375-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 AVENUE OF THE AMERICAS FL 11",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101050013",
"telephone_number": "212-981-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBAT",
"first_name": "CHRISTINE VALERIE",
"middle_name": "MENDEZ",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "049698-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.