Individual provider Active NPI

Isabella M Camp, OTR/L

  • Occupational Therapist
  • Williamsville, NY
National Provider Identifier
1063190163
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
028076-01 Issued in NY
Practice address
1780 Wehrle Dr Ste 110
Williamsville, NY 14221-7000
Phone
(716) 362-1552
NPI assigned
Jul 10, 2023
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 028076-01 NY Primary

Addresses

Primary practice location

1780 Wehrle Dr Ste 110
Williamsville, NY 14221-7000

Mailing address

117 Hoerner Ave
Buffalo, NY 14211-2707
Phone (585) 857-7007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021001484 NY Practitioner - Occupational Therapist in Private Practice 1355873993 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028076-01NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Services for Occupational Therapy, Physical Therapy, Speec CurrentSince Oct 15, 2024 Accepting new patients
Diversified Services for Occupational Therapy, Physical Ther CurrentSince Oct 15, 2024 Accepting new patients
Associated Physical & Occupational Therapists, PLLC Occupational Therapist PastSince Jul 1, 2023 Accepting new patients

Locations

2900 Delaware Ave
Kenmore, NY 14217
Phone (716) 262-9791

5883 Snyder Dr
Lockport, NY 14094
Phone (716) 433-8751

17 Limestone Dr
Ste 5
Williamsville, NY 14221
Phone (716) 362-1552

1780 Wehrle Dr
Ste 110
Williamsville, NY 14221
Phone (716) 362-1552

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1063190163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HOERNER AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142112707",
            "telephone_number": "585-857-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 WEHRLE DR STE 110",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217000",
            "telephone_number": "716-362-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "ISABELLA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028076-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.