Individual provider Active NPI

Betty Patricia Camacho-Montalvo, PT

  • Physical Therapist
  • Miramar, FL
National Provider Identifier
1255838231
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9357 Issued in FL
Practice address
18561 SW 52ND St
Miramar, FL 33029-6250
Phone
(954) 494-6272
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9357 FL Primary

Addresses

Primary practice location

18561 SW 52ND St
Miramar, FL 33029-6250

Mailing address

18561 SW 52ND St
Miramar, FL 33029-6250
Phone (954) 494-6272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250724003564 FL Practitioner - Physical Therapist in Private Practice 1153838222 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9357FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Activa, LC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients

Organizations & group practices 1

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1255838231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18561 SW 52ND ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296250",
            "telephone_number": "954-494-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18561 SW 52ND ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296250",
            "telephone_number": "954-494-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO-MONTALVO",
        "first_name": "BETTY",
        "middle_name": "PATRICIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "9357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.