Individual provider Active NPI

Rose Coraly Nieves Campis, O.T.

  • Pediatric Occupational Therapist
  • Cabo Rojo, PR
National Provider Identifier
1013124148
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
673 Issued in PR
Practice address
3 Cols de Pedernales
Los Martinez
Cabo Rojo, PR 00623-4359
Phone
(787) 310-5105
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 673 PR Primary
Occupational Therapist 225X00000X 673 PR

Addresses

Primary practice location

3 Cols de Pedernales
Los Martinez
Cabo Rojo, PR 00623-4359

Mailing address

Col. de Pedernales # 3
Los Martinez
Cabo Rojo, PR 00623
Phone (787) 310-5105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260224001081 PR Practitioner - Occupational Therapist in Private Practice 7012498561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Boqueron, PR 00622

PO Box
San German, PR 00683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
673PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Early Therapy 4U LLC Pediatrics Current Accepting new patients
Exploring Together Therapy Occupational Therapist CurrentSince Feb 11, 2026 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1013124148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COL. DE PEDERNALES # 3",
            "address_2": "LOS MARTINEZ",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-310-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COLS DE PEDERNALES",
            "address_2": "LOS MARTINEZ",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006234359",
            "telephone_number": "787-310-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES CAMPIS",
        "first_name": "ROSE",
        "middle_name": "CORALY",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PR",
            "license": "673",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.