Individual provider Active NPI

Michelle Sentinella, PTA

  • Physical Therapy Assistant
  • Albuquerque, NM
National Provider Identifier
1992244941
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA4740 Issued in MD
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PTA4740MDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Apexnetwork New Mexico, LLC CurrentSince Feb 26, 2023 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.

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.

Verify at the official NPI Registry.