Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Tyler Ambrose, LPTA

Individual provider Physical Therapy Assistant · NPI 1548944762

Jordan Tyler Ambrose, LPTA is a Physical Therapy Assistant in Winchester, Virginia. Licensed in West Virginia. Registered with an NPI since 2023.

Licensed in
WV
In the registry since
2023

Practice location Address checks out

172 Costello Dr
Winchester, VA 22602-4306
Phone: (540) 665-4444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 002865 (WV)

Record details

NPI number1548944762
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedJune 9, 2023
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

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