Active NPI
Destiny Faith Camarillo, OTR
- Occupational Therapist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 124930
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 124930 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSC Fyz Dez, LLC | Current | Accepting new patients | |
| RWW Outpatient Rehab Services, LLC | Current | Accepting new patients | |
| RWW Outpatient Rehab Services, LLC | Occupational Therapist | Current | 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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1447744461
Occupational Therapist
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.