Camille Simone McLeod, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19812 Issued in FL

Practice address

1465 Gene St
Winter Park, FL 32789-4815

Phone

(407) 493-5671

Fax

(407) 282-8742

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561161600000",
    "number": "1255423943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 GENE ST",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894815",
            "telephone_number": "407-493-5671",
            "fax_number": "407-282-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 GENE ST",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894815",
            "telephone_number": "407-493-5671",
            "fax_number": "407-282-8742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10120 Doriath Cir",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328259104",
            "country_code": "US",
            "telephone_number": "407-493-5671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "CAMILLE",
        "middle_name": "SIMONE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886829800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie McIntyre Kirsch, LMT
• Elizabeth Cook McKeehan
• Damisha McKenzie
• Tracey McKreith, M.D.
• Kevin W. McLean, M.D.
• Lauren Elizabeth McLeod, M.A., CCC-SLP
• Jennifer Anne McManus, RD
• Patricia Elizabeth McMillan, M.D.
• Kristin S McMillen, OTD
• Christina Louise McNamara, LCSW

• Physical Therapist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; 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.