David George Ambrose, BS ATC PTA
Physical Therapy Assistant in Towson, MD. Individual provider (NPI-1).
NPI number1124122296
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124122296
- Entity type
- Individual (NPI-1)
- Name
- Mr. David George Ambrose
- Credential
- BS ATC PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | A2434 | MD | Yes |
Practice location
8322 Bellona AveTowson Sports Medicine
Towson, MD 21204
Phone 410-337-8847 · Fax 410-337-5189
Mailing address
1414 Rigdon RoadJarrettsville, MD 21084-1613
Phone 410-557-7590
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Towson, MD
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All 15 Physical Therapy Assistant providers in Towson · All 5,064 providers in Towson
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