Michell Bambenek, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7824 Issued in AZ

Practice address

3930 S Alma School Rd
Ste 3
Chandler, AZ 85248-4510

Phone

(480) 988-9829

Fax

(480) 726-9829

NPI assigned

Oct 29, 2007

Last updated

Nov 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skyline Physical Therapy Aquatics and Rehab Specialists

  • Physical Therapist
  • Apache Junction, AZ
  • NPI 1720022346
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1730368580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 S ALMA SCHOOL RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484510",
            "telephone_number": "480-899-9829",
            "fax_number": "480-726-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 S ALMA SCHOOL RD",
            "address_2": "STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484510",
            "telephone_number": "480-988-9829",
            "fax_number": "480-726-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBENEK",
        "first_name": "MICHELL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00600643",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Ballard
• Kristian Royal Balle, DO
• Tiffany Ballesteros, DMD
• Matthew Mark Balocco, DO
• Tanya Marie Balov, D.O.
• Venu Bandi, B.PHARM
• Deb K Banerjee, MD
• Monica Monidipa Banerjee, MD
• Amanda Grace Banford
• Jeremy Banks, CLINICIAN I

• Physical Therapist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.