Xiomara Alejandra Diaz Camacho, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11966 Issued in CT

Practice address

60 Watson Blvd
Stratford, CT 06615-7171

Phone

(203) 380-5945

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676

  Physical Therapist

  Medicare reassignment NPD
• Mypelvicare

  • Physical Therapist
  • Norwalk, CT
  • NPI 1831990555
  NPD Authorized official

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1205307352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MORTON ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542615",
            "telephone_number": "203-767-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WATSON BLVD",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157171",
            "telephone_number": "203-380-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ CAMACHO",
        "first_name": "XIOMARA",
        "middle_name": "ALEJANDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayja Derry
• Donna Derubis, RN
• Susan Chackerea Deslandes-Bray, PHARMD
• Iselande Desyr, DNP PMHNP-BC FNP-BC
• Janya Dias, OTR/L
• Vicente Antonio Diaz, MD
• Silvia Dicovich, LPC
• Jennifer Lynn Dina, LCSW
• Constanta Dinulescu, DDS
• James J. Dipisa, PH.D.

• Physical Therapist in Stratford, CT
• Providers in Stratford, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.