Active NPI
Robert L Camacho, LMT
- Massage Therapist
- Albany, NY
National Provider Identifier
1528240777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 015639
- Practice address
- 66 Hackett Blvd
Albany, NY 12209-1750 - Phone
- (518) 262-4439
- Fax
- (518) 262-2169
- NPI assigned
- Nov 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 015639 | NY | Primary |
Addresses
Primary practice location
66 Hackett Blvd
Albany, NY 12209-1750
Mailing address
66 Hackett Blvd
Albany, NY 12209-1750
Phone (518) 262-4439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015639 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1528240777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 HACKETT BLVD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122091750",
"telephone_number": "518-262-4439",
"fax_number": "518-262-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 HACKETT BLVD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122091750",
"telephone_number": "518-262-4439",
"fax_number": "518-262-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-29",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "015639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.