Individual provider Active NPI

Pedro Luiz Camargo, PT

  • Physical Therapist
  • Bear, DE
National Provider Identifier
1174662001
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
100 Becks Woods Dr
Bear, DE 19701-3835
Phone
(302) 392-3400
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT293188 CA
Physical Therapist 225100000X DE Primary

Addresses

Primary practice location

100 Becks Woods Dr
Bear, DE 19701-3835

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

1115 West Ave. M-14
Palmdale, CA 93551
Phone (661) 265-0060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028002298 DE Practitioner - Physical Therapist in Private Practice 9931473899 Reassigns benefits to 1 organization
Practice locations: Bear, DE

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

100 Becks Woods Dr
Ati Physical Therapy
Bear, DE 19701-3835
Phone (302) 392-3400

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT293188CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 25, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 25, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist Past Accepting new patients

Locations

100 Becks Woods Dr
Bear, DE 19701
Phone (302) 392-3400

283 N DuPont Hwy
Ste E
Dover, DE 19901
Phone (302) 747-5229

1288 S Governors Ave
Dover, DE 19904
Phone (302) 677-0100

16819 S DuPont Hwy
Ste 500
Harrington, DE 19952
Phone (302) 786-3008

28535 DuPont Blvd
Unit 1
Millsboro, DE 19966
Phone (302) 297-0700

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

190 Forty Foot Rd
Ste 110
Hatfield, PA 19440
Phone (267) 827-3079

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1174662001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "661-265-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BECKS WOODS DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013835",
            "telephone_number": "302-392-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 West Ave. M-14",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "93551",
            "country_code": "US",
            "telephone_number": "661-265-0060",
            "fax_number": "661-265-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMARGO",
        "first_name": "PEDRO",
        "middle_name": "LUIZ",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293188",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.