NPIMap

Organization Active NPI

Camacho'S Purposeful Occupational Therapy, P.C.

  • Rehabilitation Clinic/Center
  • Valley Stream, NY
National Provider Identifier
1083967525
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
016784 Issued in NY
Legal business name
CAMACHO'S PURPOSEFUL OCCUPATIONAL THERAPY, P.C.
Practice address
1121 Ashley Dr
Valley Stream, NY 11580-2431
Phone
(917) 679-9546
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Tracy Camacho, OTR/LNPI 1659674968
Title
President
Phone
(917) 679-9546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 016784 NY Primary

Addresses

Primary practice location

1121 Ashley Dr
Valley Stream, NY 11580-2431

Mailing address

1121 Ashley Dr
Valley Stream, NY 11580-2431

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1083967525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 ASHLEY DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 ASHLEY DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802431",
            "telephone_number": "917-679-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMACHO'S PURPOSEFUL OCCUPATIONAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-679-9546",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "016784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.