Camila Valeria Fuentes Wiltcher, D.P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

07227 Issued in LA

Practice address

10178 Berrywood Cir
Shreveport, LA 71106-7692

Phone

(225) 241-2469

NPI assigned

Oct 9, 2008

Last updated

Oct 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1396996278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6318 DOUBLE TREE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708178915",
            "telephone_number": "225-241-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10178 BERRYWOOD CIR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067692",
            "telephone_number": "225-241-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTCHER",
        "first_name": "CAMILA",
        "middle_name": "VALERIA FUENTES",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "LA",
            "license": "07227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troynecia Brenee Wilson
• Wendall A Wilson, M.D.
• Xavier Deon Wilson
• Zachary Scott Wilson, AGAC-NP
• Wilson's Loving Care Transportation LLC
• Michael Wayne Wiltcher, DPT
• Heidi E Wimberly, PA-C
• Charles Winborne
• Lawana Winborne
• Winder-Turk-Jones Dermatology Apc

• Pediatric Physical Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pediatric Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.