Individual provider Active NPI

Amber Mross

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1922700459
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4555 E Mayo Blvd
Phoenix, AZ 85050-6952
Phone
(480) 384-5800
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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 Primary

Addresses

Primary practice location

4555 E Mayo Blvd
Phoenix, AZ 85050-6952

Mailing address

112 Gumtree LN
Dingmans Ferry, PA 18328-4276
Phone (570) 994-4326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230801000325 MD Practitioner - Physical Therapist in Private Practice 0042671554
I20250123002639 MA Practitioner - Physical Therapist in Private Practice 0042671554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DG Physical Therapy, P.C. CurrentSince Jan 9, 2025 Accepting new patients
DG Physical Therapy, P.C. CurrentSince Jan 9, 2025 Accepting new patients
DG Physical Therapy PC Physical Therapist Current Accepting new patients

Locations

4 Meeting House Rd
Ste 5
Chelmsford, MA 01824
Phone (978) 970-2460

154 E Main St
Westborough, MA 01581
Phone (508) 366-7899

Organizations & group practices 3

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1922700459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 GUMTREE LN",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "183284276",
            "telephone_number": "570-994-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 E MAYO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850506952",
            "telephone_number": "480-384-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROSS",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.