Active NPI
Keycha Camacho, OTL
- Occupational Therapist
- Dorado, PR
National Provider Identifier
1063640233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1089
- Practice address
- Calle Sur #349
Dorado, PR 00646 - Phone
- (787) 459-1491
- NPI assigned
- Jun 26, 2009
- Last updated
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1089 | PR | Primary |
Addresses
Primary practice location
Calle Sur #349
Dorado, PR 00646
Mailing address
Urb. Gran Vista 8 Camino del Plata
Toa Alta, PR 00953-8530
Phone (787) 368-1184
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 |
|---|---|---|---|
| 1089 | PR | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butterfly Therapeutic Clinic, Inc. | Occupational Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Dorado, PR
- NPI 1316664741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1063640233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. GRAN VISTA 8 CAMINO DEL PLATA",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009538530",
"telephone_number": "787-368-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE SUR #349",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-459-1491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO",
"first_name": "KEYCHA",
"name_prefix": "Miss",
"credential": "OTL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-26",
"last_updated": "2022-10-24",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "1089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.