Individual provider Active NPI

Destiny Faith Camarillo, OTR

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1124841895
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
124930 Issued in TX
Practice address
814 Arion Pkwy Ste 413
San Antonio, TX 78216-2837
Phone
(210) 495-0750
NPI assigned
Nov 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 124930 TX Primary

Addresses

Primary practice location

814 Arion Pkwy Ste 413
San Antonio, TX 78216-2837

Mailing address

2414 Rivas St
San Antonio, TX 78228-6446
Phone (619) 402-8355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241115003370 TX Practitioner - Occupational Therapist in Private Practice 2769916568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSC Fyz Dez LLCGroup PAC ID 1254823628, 2 clinicians
RWW Outpatient Rehab Services, LLCGroup PAC ID 8729333521, 108 clinicians

Practice addresses (Care Compare)

6222 De Zavala Rd
Suite 101
San Antonio, TX 78249-2275
Phone (210) 864-3174

814 Arion Pkwy
San Antonio, TX 78216-2835
Phone (615) 994-1792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124930TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PSC Fyz Dez, LLC CurrentSince Sep 1, 2025 Accepting new patients
RWW Outpatient Rehab Services, LLC CurrentSince Nov 4, 2024 Accepting new patients
RWW Outpatient Rehab Services, LLC Occupational Therapist CurrentSince Nov 4, 2024 Accepting new patients

Locations

6222 De Zavala Rd
Ste 101
San Antonio, TX 78249
Phone (210) 200-8552

814 Arion Pkwy
Ste 413
San Antonio, TX 78216
Phone (210) 338-7430

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1124841895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 RIVAS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782286446",
            "telephone_number": "619-402-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 ARION PKWY STE 413",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162837",
            "telephone_number": "210-495-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARILLO",
        "first_name": "DESTINY",
        "middle_name": "FAITH",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "124930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.