Active NPI
Rodrigo Ricci Ocampos, RPT
- Physical Therapist
- Lakeland, FL
National Provider Identifier
1083837991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 10173
- Practice address
- 2039 E Edgewood Dr Ste 110
Lakeland, FL 33803-3601 - Phone
- (863) 665-1185
- Fax
- (863) 665-1761
- NPI assigned
- Apr 10, 2007
- Last updated
- Jul 8, 2007
- 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 Therapist | 225100000X | PT 10173 | FL | Primary |
Addresses
Primary practice location
2039 E Edgewood Dr Ste 110
Lakeland, FL 33803-3601
Mailing address
2039 E Edgewood Dr Ste 110
Lakeland, FL 33803-3601
Phone (863) 665-1185
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y8050 | Other | FL | BCBS PROVIDER NUMBER |
| PT 10173 | Other | FL | LICENSE NUMBER |
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 |
|---|---|---|---|
| PT 10173 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapy Inc | Physical Therapist | Past | 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.
-
- Physical Therapist
- Lakeland, FL
- NPI 1316016801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083837991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2039 E EDGEWOOD DR STE 110",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338033601",
"telephone_number": "863-665-1185",
"fax_number": "863-665-1761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2039 E EDGEWOOD DR STE 110",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338033601",
"telephone_number": "863-665-1185",
"fax_number": "863-665-1761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCAMPOS",
"first_name": "RODRIGO",
"middle_name": "RICCI",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 10173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "Y8050",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PT 10173",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
- Henry Jerome Obrien, ED.S.
- Ocala Rehabilitation Physicians
- Rachiela Pangan Ocampo, PT
- Reymon David Ocampo, PT
- Bernadette Chua Ocampos, RPT
- Loyda Judy Ocasio
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Occupational Health Centers of the Southwest, P.a. (FL) (Concentra Medical Center)
- Occupational Health Partners, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.