Active NPI
Kerry Elizabeth Camden, OTR/L
- Rehabilitation Clinic/Center
- Plantation, FL
National Provider Identifier
1629233556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- OT3955
- Practice address
- 161 El Dorado Parkway
Plantation, FL 33317 - Phone
- (954) 584-5255
- NPI assigned
- Jul 21, 2008
- Last updated
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | OT3955 | FL | Primary |
Addresses
Primary practice location
161 El Dorado Parkway
Plantation, FL 33317
Mailing address
161 El Dorado Pkwy
Plantation, FL 33317-3213
Phone (954) 584-5255
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 |
|---|---|---|---|
| OT3955 | FL | MD | Rehabilitation Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1629233556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 EL DORADO PKWY",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333173213",
"telephone_number": "954-584-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 EL DORADO PARKWAY",
"city": "PLANTATION",
"state": "FL",
"postal_code": "33317",
"telephone_number": "954-584-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMDEN",
"first_name": "KERRY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "FL",
"license": "OT3955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.