Kelly Marie Cameron, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2363 Issued in NE

Practice address

7954 Cayman Cir
Columbus, NE 68601-8966

Phone

(402) 618-1360

NPI assigned

May 30, 2013

Sex

Female

Sole proprietor

No

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

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Life Therapy and Wellness PCGroup PAC ID 0648309591, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dynamic Life Therapy and Wellness PC

  • Clinic/Center
  • Columbus, NE
  • NPI 1083945554
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1437596400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7954 CAYMAN CIR",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686018966",
            "telephone_number": "402-618-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7954 CAYMAN CIR",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686018966",
            "telephone_number": "402-618-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Brett Burwell, D.D.S
• Florinda Candelaria Cabrera Mendez
• Olga Roxana Cabrera Mendez
• Yackeline Cabrita Scott
• Samantha Jo Cahill, APRN
• Arilyn Campuzano
• Ramanda Lee Campuzano
• Julie Canaday Graham, MS, SLP
• Jose Carde-Bernal, PLADC
• Caretech, Inc.

• Physical Therapist in Columbus, NE
• Providers in Columbus, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.