Active NPI
Michelle Sentinella, PTA
- Physical Therapy Assistant
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA4740
- Practice address
- 3400 NM 528 NW Ste 106a
Albuquerque, NM 87114-7025 - Phone
- (505) 800-7810
- NPI assigned
- Feb 22, 2017
- Last updated
- Feb 23, 2023
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA4740 | MD | Primary |
Addresses
Primary practice location
3400 NM 528 NW Ste 106a
Albuquerque, NM 87114-7025
Mailing address
187 Southwood Rd
Pasadena, MD 21122-4528
Phone (443) 742-1052
Other practice location 1
20410 Century Blvd
Suite 215
Germantown, MD 20874-1186
Phone (305) 540-6140
Other practice location 2
2101 Fairland Rd
Silver Spring, MD 20904-5427
Phone (301) 384-6161
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 |
|---|---|---|---|
| PTA4740 | MD | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apexnetwork New Mexico, LLC | Current | Accepting new patients |
Locations
3400 NM 528 NW
Ste 106A
Albuquerque, NM 87114
Phone (505) 800-7810
Organizations & group practices 1
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.
-
- Physical Therapist
- Gallup, NM
- NPI 1871917740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1992244941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 SOUTHWOOD RD",
"city": "PASADENA",
"state": "MD",
"postal_code": "211224528",
"telephone_number": "443-742-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 NM 528 NW STE 106A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871147025",
"telephone_number": "505-800-7810"
}
],
"practiceLocations": [
{
"address_1": "20410 Century Blvd",
"address_2": "Suite 215",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "MD",
"postal_code": "208741186",
"country_code": "US",
"telephone_number": "305-540-6140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 Fairland Rd",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209045427",
"country_code": "US",
"telephone_number": "301-384-6161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SENTINELLA",
"first_name": "MICHELLE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-22",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "PTA4740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.