Active NPI
Darren Wayne Camper, PTA
- Physical Therapy Assistant
- Milford, DE
National Provider Identifier
1073985602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- J20000793
- Practice address
- 800 Airport Road Suite 102
Milford, DE 19963 - Phone
- (302) 424-1714
- NPI assigned
- Oct 22, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | J20000793 | DE | Primary |
Addresses
Primary practice location
800 Airport Road Suite 102
Milford, DE 19963
Mailing address
162 Glen Loch LN
Houston, DE 19954
Phone (302) 245-7549
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 |
|---|---|---|---|
| J20000793 | DE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1073985602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 GLEN LOCH LN",
"city": "HOUSTON",
"state": "DE",
"postal_code": "19954",
"telephone_number": "302-245-7549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 AIRPORT ROAD SUITE 102",
"city": "MILFORD",
"state": "DE",
"postal_code": "19963",
"telephone_number": "302-424-1714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPER",
"first_name": "DARREN",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-22",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "DE",
"license": "J20000793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.