Camilo Patino

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0015219 Issued in CO

Practice address

4500 E Cherry Creek South Dr Ste 710
Denver, CO 80246-1534

Phone

(303) 432-8487

NPI assigned

Feb 17, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1104419555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7699 E WARREN CIR APT 10-102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E CHERRY CREEK SOUTH DR STE 710",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461534",
            "telephone_number": "303-432-8487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 NE 163rd St Ste 207",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331624927",
            "country_code": "US",
            "telephone_number": "305-949-6461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATINO",
        "first_name": "CAMILO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-17",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "30448",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0015219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Pathways, LLC
• Patient Shield Concepts, LLC
• Steven Lee Patient, M.S. CCC-SLP
• Patients Choice, LLC
• Deepti Patil, DDS
• Kaylee M Patino
• Laura D Patke, PSYD
• Aniruddha Uday Patki, MD
• Shae Larae Patnoe, M.S.P.T.
• Heather Michelle Patocka, B.A.

• Physical Therapy Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.