Sydney Renee Decamp, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052611-01 Issued in NY

Practice address

961 Panorama TRL S
Rochester, NY 14625-2311

Phone

(585) 482-5060

Fax

(585) 512-8372

NPI assigned

Aug 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness 360 Physical Therapy and Massage PLLCGroup PAC ID 5294142956, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Melissa Clark OT PLLC

  • Occupational Therapist
  • Rochester, NY
  • NPI 1265132567

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1023841012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 PANORAMA TRL S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252311",
            "telephone_number": "585-482-5060",
            "fax_number": "585-512-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 PANORAMA TRL S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252311",
            "telephone_number": "585-482-5060",
            "fax_number": "585-512-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECAMP",
        "first_name": "SYDNEY",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052611-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Jean Debona, PHARMD
• Tami Sue Debottis-Suflita, BSN, RN
• Nicole Debraal
• Miranda Debruyne
• Yolanda E. Decamilla I, PMHNP
• Lauren N Decaporale-Ryan, PHD
• Colleen Frances Decarlis, FNP
• Ryan Christopher Decaro, R. PH. PHARMD MBA
• Courtney Marie Decker, CCLS
• Shannon Decker, DPT

• Physical Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.