Camelback Advanced Therapy LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CAMELBACK ADVANCED THERAPY LLC

Doing business as

Camelback Advanced Therapy

Practice address

4745 N 7TH St Ste 207
Phoenix, AZ 85014-3667

Phone

(602) 898-4994

NPI assigned

Mar 13, 2025

Last updated

Mar 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Secretary

Phone

(949) 540-1249

Specialties & licenses 4

Addresses

Other names 1

• Camelback Advanced Therapy Doing business as

Locations

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1255131876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 N 7TH ST STE 207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143667",
            "telephone_number": "602-898-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 N 7TH ST STE 207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143667",
            "telephone_number": "602-898-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELBACK ADVANCED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelback Advanced Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Camelback Advanced Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alvin Russell Roma Camana, PHARMD
• Jessica Raena Camano, LPC
• Isabel Christina Camargo
• Michele Cambria, P.A.-C.
• Juliana Del Valle Camejo, PA
• Camelback Chiropractic Centers II PLLC
• Camelback Compounders LLC (Camelback Compounding Pharmacy)
• Camelback Counseling LLC
• Camelback Dental Care PLLC
• Camelback Dermatology & Skin Surgery, Inc

• Rehabilitation Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.