Luis M Camacho Jr., PT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9109155 Issued in FL

Practice address

2250 NE 53Rd St
Fort Lauderdale, FL 33308-3163

Phone

(786) 597-2681

NPI assigned

Jan 25, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prompt Health

  • Physician Assistant
  • Fort Lauderdale, FL
  • NPI 1265237937
  Medicare reassignment Authorized official
• Rehabclinics Pta, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Aventura, FL
  • NPI 1003274168
  Medicare reassignment NPD
• Rehabclinics Pta, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Plantation, FL
  • NPI 1003358235
  NPD
• Rehabclinics Pta, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1114627999
  NPD
• Advance Physical Therapy Network LLC

  • Specialist
  • Coral Springs, FL
  • NPI 1770783490

  Physical Therapist

  NPD (past)
• Expert Rehab, LLC

  • Physical Therapy Clinic/Center
  • Aventura, FL
  • NPI 1285798769

  Physical Therapist

  NPD (past)
• Rehabclinics SPT Inc

  dba NovaCare Rehabilitation

  • Physical Therapist
  • Eldersburg, MD
  • NPI 1164427092
  NPD (past)

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1386949204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NE 53RD ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NE 53RD ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083163",
            "telephone_number": "786-597-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "LUIS",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-25",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 26044",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9109155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aldo A Calvo, DO
• Patricia Hoffman Calvo, MD
• Daylen Camacho Torres
• Daniel R Camacho, DMD
• Diego A Camacho, DMD
• Ricardo Camacho
• Christina Camarena
• Lizeth Camarena, BCBA
• Ari-Yuri Camargo, OTR/L
• Coralee Daisy Camargo, MD

• Physician Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.