Organization Active NPI

Cam Physical Therapy and Wellness Services LLC

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1235845447
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CAM PHYSICAL THERAPY AND WELLNESS SERVICES LLC
Practice address
9715 Medical Center Dr Ste 102
Rockville, MD 20850-6319
Phone
(301) 853-0093
Fax
(301) 853-0096
NPI assigned
Jan 31, 2023
Organization subpart
Yes
Parent organization
CAM PHYSICAL THERAPY AND WELLNESS SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Janesa Paver
Title
VP of Finance
Phone
(301) 853-0093

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

9715 Medical Center Dr Ste 102
Rockville, MD 20850-6319

Mailing address

14205 Park Center Dr Ste 204
Laurel, MD 20707-5252
Phone (301) 853-0093

National Provider Directory

National Provider Directory
Tax ID family
Cam Physical Therapy and Wellness Services LLC15 organizations share this tax ID, including this one
Part of
Cam Physical Therapy and Wellness Services LLC

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1235845447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 PARK CENTER DR STE 204",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075252",
            "telephone_number": "301-853-0093",
            "fax_number": "301-853-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR STE 102",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506319",
            "telephone_number": "301-853-0093",
            "fax_number": "301-853-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAM PHYSICAL THERAPY AND WELLNESS SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAM PHYSICAL THERAPY AND WELLNESS SERVICES LLC",
        "enumeration_date": "2023-01-31",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "PAVER",
        "authorized_official_first_name": "JANESA",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "301-853-0093"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.