Individual provider Active NPI

Cameron Ventura, PT

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1457171449
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-033869 Issued in AZ
Practice address
20000 N 57TH Ave RM N202
Glendale, AZ 85308-6999
Phone
(808) 987-2907
NPI assigned
Oct 14, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 LPT-033869 AZ Primary

Addresses

Primary practice location

20000 N 57TH Ave RM N202
Glendale, AZ 85308-6999

Mailing address

20000 N 57TH Ave RM N202
Glendale, AZ 85308-6999
Phone (808) 987-2907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127001663 AZ Practitioner - Physical Therapist in Private Practice 0143755199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
California University of Science and Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Pain Specialists PLLCGroup PAC ID 2668536418, 40 clinicians

Practice addresses (Care Compare)

18555 N 79TH Ave
Suite D101
Glendale, AZ 85308-6040
Phone (480) 563-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain Specialists, PLLC CurrentSince Nov 13, 2024 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince Nov 13, 2024 Accepting new patients
Physical Medicine of Chandler LLC PastSince May 1, 2020 Accepting new patients

Locations

18555 N 79th Ave
Ste D101
Glendale, AZ 85308
Phone (480) 245-6169

20255 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 225-7154

2340 W Parkside Ln
Ste H107
Phoenix, AZ 85027
Phone (480) 245-6008

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

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": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1457171449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 N 57TH AVE RM N202",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086999",
            "telephone_number": "808-987-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 N 57TH AVE RM N202",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086999",
            "telephone_number": "808-987-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTURA",
        "first_name": "CAMERON",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.