DENISE W AMBROSE (PT, MPT) – Physical Therapist, NPI 1295375699

DENISE W AMBROSE (PT, MPT) is a healthcare provider. based in Baldwinsville, New York. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, MPT. They hold a License No. 016200-1 (NY). The NPI Number for DENISE W AMBROSE (PT, MPT) is 1295375699

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DENISE W AMBROSE (PT, MPT)
NPI
1295375699
Phone
(315) 427-2774
Address
50 WATERFRONT DR
Enumeration Date
14 January 2020
Last Update Date
14 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3155699308
Graduation Year
1996 (30 years ago)
PAC ID
4880125723
Group Practice PAC ID
4981996923
Professional Enrollment ID
I20241003000617
Address ID
NY13215XXXXSYXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,725 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NY

Provider Addresses for DENISE W AMBROSE (PT, MPT)

  • 50 WATERFRONT DR

    BALDWINSVILLE, NY 130272110

    Phone: (315) 427-2774

    Type: Mailing

  • 813 FAY RD

    SYRACUSE, NY 132193009

    Phone: (315) 488-2831

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241003000617IPhysical Therapist In Private PracticeNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 13027)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981996923View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Occupational Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
-NY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

What federal number belongs to DENISE W AMBROSE (PT, MPT)?
The federal identifier for DENISE W AMBROSE (PT, MPT) is NPI 1295375699.
Is DENISE W AMBROSE (PT, MPT) currently active in the NPI registry?
CMS-published data lists DENISE W AMBROSE (PT, MPT) as an active registrant.
Does DENISE W AMBROSE (PT, MPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for DENISE W AMBROSE (PT, MPT). Clinical services aligned with this taxonomy classification.
Where is DENISE W AMBROSE (PT, MPT)'s primary listing?
We display Baldwinsville, New York because that is what the record indicates for DENISE W AMBROSE (PT, MPT).
Is DENISE W AMBROSE (PT, MPT) a real provider?
This page reflects official NPPES data for NPI 1295375699. Always confirm identity and privileges with the practice and licensing boards.

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