Active NPI
Omar Caminero, PTA
- Physical Therapy Assistant
- West Palm Beach, FL
National Provider Identifier
1023379187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 10214
- Practice address
- 1680 Windorah Way
Apt. B
West Palm Beach, FL 33411-1961 - Phone
- (561) 623-7471
- NPI assigned
- Jun 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 10214 | FL | Primary |
| Physical Therapy Assistant | 225200000X | 2336 | MA |
Addresses
Primary practice location
1680 Windorah Way
Apt. B
West Palm Beach, FL 33411-1961
Mailing address
1680 Windorah Way
Apt. B
West Palm Beach, FL 33411-1961
Phone (561) 623-7471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 10214 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1023379187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 WINDORAH WAY",
"address_2": "APT. B",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334111961",
"telephone_number": "561-623-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 WINDORAH WAY",
"address_2": "APT. B",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334111961",
"telephone_number": "561-623-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMINERO",
"first_name": "OMAR",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-06",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 10214",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "2336",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.