Active NPIIndividual provider

Rena Ambrose, PTA

Physical Therapy Assistant in Bloomfield, New Jersey

NPI Number1154723476
Practice location
255 Broad St, Bloomfield, NJ 07003-2724
Fax
—
Last updated
September 17, 2014

Rena Ambrose is a Physical Therapy Assistant based in Bloomfield, NJ. Rena Ambrose practices in Bloomfield, NJ and has the professional credentials of PTA. The NPI Number for Rena Ambrose is 1154723476 and holds a License No. 40QB00272500 (NJ). The current practice location address for Rena Ambrose is 255 Broad St, Bloomfield, NJ 07003-2724 and can be reached out via phone at 973-985-8392.

Provider Profile Details

NPI Number
1154723476
Provider Name
Rena Ambrose
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
255 Broad St, Bloomfield, NJ 07003-2724
Phone Number
973-985-8392
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
September 17, 2014
Last Update Date
September 17, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 Broad St
Bloomfield, NJ 07003-2724
Zip
07003-2724
Phone Number
973-985-8392
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
255 Broad St
Bloomfield, NJ 07003-2724
City
Bloomfield
State
NJ
Zip
07003-2724
Phone Number
973-985-8392

License Information

License Number
40QB00272500
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rena Ambrose, PTA?

The NPI number of Rena Ambrose, PTA is 1154723476. It was assigned on September 17, 2014 and is currently active in the NPPES registry.

What is the specialty of Rena Ambrose, PTA?

Rena Ambrose, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00272500.

Where does Rena Ambrose, PTA practice?

The practice location is 255 Broad St, Bloomfield, NJ 07003-2724. The office can be reached at 973-985-8392 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154723476 directly on the NPPES registry website.

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