Camila Harris – Occupational Therapist in Avon, CT

Key facts

NPI: 1497482152
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: 6743 (CT)
Practice address: 31 Ensign Dr Ste B
Avon, CT 06001-3773
Phone: (860) 404-2461
Fax: (860) 404-2612
NPI assigned: Aug 3, 2022
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Ptsma Inc Physical Therapy Clinic/Center · Manchester, CT · NPI 1619393337

NPD (past)
Sports and Orthopedic Rehabilitation Services Inc Physical Therapy Clinic/Center · Palm Harbor, FL · NPI 1932109071

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
6743	CT	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Sports and Orthopedic Rehabilitation Services Inc		Past since Dec 7, 2025	Accepting new patients
Ptsma Inc		Past since Dec 7, 2025	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X	6743	CT	Yes

Addresses

Primary practice location

31 Ensign Dr Ste B
Avon, CT 06001-3773

Mailing address

31 Ensign Dr Ste B
Avon, CT 06001-3773
Phone (860) 404-2461

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2025.

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1497482152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ENSIGN DR STE B",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013773",
            "telephone_number": "860-404-2461",
            "fax_number": "860-404-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ENSIGN DR STE B",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013773",
            "telephone_number": "860-404-2461",
            "fax_number": "860-404-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CAMILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "6743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

All providers in Avon, CT · Occupational Therapist in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.