Individual provider Active NPI

Didier Camino

  • Physical Therapy Assistant
  • Miami, FL
National Provider Identifier
1134425432
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA19894 Issued in FL
Practice address
7821 Coral Way
Suite 132
Miami, FL 33155-6542
Phone
(305) 764-5789
Fax
(305) 262-6678
NPI assigned
Feb 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA19894 FL Primary

Addresses

Primary practice location

7821 Coral Way
Suite 132
Miami, FL 33155-6542

Mailing address

8300 NW 185TH St
Hialeah, FL 33015-2645
Phone (305) 764-5789

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

LicenseStateTypeSpecialty
PTA19894FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1134425432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 NW 185TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152645",
            "telephone_number": "305-764-5789",
            "fax_number": "305-262-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7821 CORAL WAY",
            "address_2": "SUITE 132",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556542",
            "telephone_number": "305-764-5789",
            "fax_number": "305-262-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMINO",
        "first_name": "DIDIER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA19894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.