Amber Lampiris-Tremba, DPT
Individual provider Active NPI Physical Therapist · Edgewood, NM
NPI 1760145676 · NPPES record last updated Oct 18, 2021
Key facts
- NPI
- 1760145676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT5972 (NM)
- Practice address
- 1 Linnie CT
Edgewood, NM 87015-9125 - Phone
- (505) 286-7838
- Fax
- (505) 286-8025
- NPI assigned
- Oct 18, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211029000741 | NM | Practitioner - Physical Therapist in Private Practice | 3678961364 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Solutions Therapy Serv Inc | Physical Therapist | Current |
Accepting new patients |
| Active Solutions Therapy Services, Inc | Physical Therapist | Past | Accepting new patients |
Locations
3901 Georgia St NE
Bldg F
Albuquerque, NM 87110
Phone (505) 286-7838
1 Linnie Ct
Edgewood, NM 87015
Phone (505) 286-7838
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5972 | NM | Yes |
Addresses
Primary practice location
1 Linnie CT
Edgewood, NM 87015-9125
Mailing address
1 Linnie CT
Edgewood, NM 87015-9125
Phone (505) 286-7838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT5972 | Other | NM | STATE LICENSE |
Other providers in Edgewood, NM
- Joshua Jones
- Lisa Christine Kazmar
- Angela King
- Amanda M Krahenbuhl
- Sharon A Lamoree-Lukasavage
- Julie Suzanne Lindberg
- Deborah Ann Lucas
- Lindsey Lucero
- Douglas Ivan Ludington
- Caroline Ludwig
All providers in Edgewood, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.