Individual provider Active NPI

Melissa Villamor Rocamora, PT

  • Physical Therapist
  • Little Ferry, NJ
National Provider Identifier
1629139787
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40QA01030400 Issued in NJ
Practice address
167 Washington Ave
Little Ferry, NJ 07643-2009
Phone
(201) 641-1600
Fax
(201) 807-0231
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT40QA01030400 NJ Primary

Addresses

Primary practice location

167 Washington Ave
Little Ferry, NJ 07643-2009

Mailing address

77 Liberty St Apt 34
Little Ferry, NJ 07643-1767
Phone (201) 490-3787

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10905NCMDPharmacist
PT40QA01030400NJMDPhysical Therapist
023332NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Medical, P.C. Past Accepting new patients
Springmoor Physical Therapy Center, Inc. Physical Therapist PastSince Nov 13, 2006 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629139787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 LIBERTY ST APT 34",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431767",
            "telephone_number": "201-490-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 WASHINGTON AVE",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076432009",
            "telephone_number": "201-641-1600",
            "fax_number": "201-807-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCAMORA",
        "first_name": "MELISSA",
        "middle_name": "VILLAMOR",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA01030400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Ferry, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.