Individual provider Active NPI

Teresa J Camarata, P.T.

  • Physical Therapist
  • Portsmouth, NH
National Provider Identifier
1306800263
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
NH1416 Issued in NH
Practice address
15 Rye St Ste 125
Portsmouth, NH 03801-6839
Phone
(603) 610-2200
Fax
(603) 610-2202
NPI assigned
Apr 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 NH1416 NH Primary

Addresses

Primary practice location

15 Rye St Ste 125
Portsmouth, NH 03801-6839

Mailing address

15 Rye St Ste 125
Portsmouth, NH 03801-6839
Phone (603) 610-2200

Other identifiers 1

IdentifierTypeStateIssuer
08Y008750NH02OtherNEANTHEM BLUE CROSS/BLUE SH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000784 NH Practitioner - Physical Therapist in Private Practice 6507899978 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NH1416NHMDPhysical Therapist
1416NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Proex Physical Therapy, LLC CurrentSince Aug 27, 2018 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Aug 27, 2018 Accepting new patients
Merrimack Valley Physical Therapy Physical Therapist PastSince May 7, 2018 Accepting new patients

Locations

210 Commerce Way
Ste 120
Portsmouth, NH 03801
Phone (603) 427-8066

475 High St
Unit E
Somersworth, NH 03878
Phone (603) 617-3846

64 Portsmouth Ave
Ste 5
Stratham, NH 03885
Phone (603) 772-8222

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 3

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": "1145145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1306800263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RYE ST STE 125",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016839",
            "telephone_number": "603-610-2200",
            "fax_number": "603-610-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RYE ST STE 125",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016839",
            "telephone_number": "603-610-2200",
            "fax_number": "603-610-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARATA",
        "first_name": "TERESA",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-16",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "NH1416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SH",
            "identifier": "08Y008750NH02",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.