Individual provider Active NPI

Charles Amburgey, PT, DPT

  • Physical Therapist
  • Ventura, CA
National Provider Identifier
1932446309
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39737 Issued in CA
Practice address
3418 Loma Vista Rd Ste a
Ventura, CA 93003-3015
Phone
(805) 765-4773
Fax
(805) 392-9975
NPI assigned
Jan 5, 2013
Sex
Male
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 39737 CA Primary

Addresses

Primary practice location

3418 Loma Vista Rd Ste a
Ventura, CA 93003-3015

Mailing address

3418 Loma Vista Rd Ste a
Ventura, CA 93003-3015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141020001252 CA Practitioner - Physical Therapist in Private Practice 9436370202 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

Practice addresses (Care Compare)

3418 Loma Vista Rd
Suite a
Ventura, CA 93003-3015
Phone (805) 765-1391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince May 26, 2015 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince May 26, 2015 Accepting new patients

Locations

4960 Verdugo Way
Camarillo, CA 93012
Phone (805) 222-4731

177 N Reino Rd
Newbury Park, CA 91320
Phone (805) 586-0290

2051 Statham Blvd
Oxnard, CA 93033
Phone (805) 250-3375

2100 Solar Dr
Ste 204
Oxnard, CA 93036
Phone (805) 222-6563

957 Faulkner Rd
Ste 105
Santa Paula, CA 93060
Phone (805) 749-2273

2260 Tapo St
Simi Valley, CA 93063
Phone (805) 387-3060

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

2895 Loma Vista Rd
Ste H
Ventura, CA 93003
Phone (805) 269-6316

24 E Main St
Ventura, CA 93001
Phone (805) 232-5882

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": "1357344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1932446309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD STE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD STE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033015",
            "telephone_number": "805-765-4773",
            "fax_number": "805-392-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBURGEY",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-05",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

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.
  • 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.