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

Rena Ambrose, PTA

Individual provider Physical Therapy Assistant · NPI 1154723476

Rena Ambrose, PTA is a Physical Therapy Assistant in Bloomfield, New Jersey. Licensed in New Jersey. Registered with an NPI since 2014.

Licensed in
NJ
In the registry since
2014
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

255 Broad St
Bloomfield, NJ 07003-2724
Phone: (973) 985-8392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00272500 (NJ)

Record details

NPI number1154723476
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 17, 2014
Last updated in NPPESSeptember 17, 2014
Mailing address255 Broad St, Bloomfield, NJ 07003-2724

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