Active NPI
Rachel Rose Cameron, DPT
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1629400940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014462
- Practice address
- 10400 Reading Rd
Suite 105
Cincinnati, OH 45241-4816 - Phone
- (513) 733-3370
- Fax
- (513) 786-7893
- NPI assigned
- Aug 9, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014462 | OH | Primary |
Addresses
Primary practice location
10400 Reading Rd
Suite 105
Cincinnati, OH 45241-4816
Mailing address
34 Deerhill LN
Cincinnati, OH 45218-1016
Phone (513) 535-5760
Other names 1
- Miss Rachel Rose Wagner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014462 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Rehabilitation Institute of Cincinnati, LLC | Past | Accepting new patients |
Locations
4200 Regent St
Ste 200
Columbus, OH 43219
Phone (877) 581-2210
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.
-
- Physical Therapist
- Columbus, OH
- NPI 1285244996
-
- Physical Therapy Clinic/Center
- Cincinnati, OH
- NPI 1396995908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1629400940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 DEERHILL LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452181016",
"telephone_number": "513-535-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 READING RD",
"address_2": "SUITE 105",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452414816",
"telephone_number": "513-733-3370",
"fax_number": "513-786-7893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "RACHEL",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-09",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "014462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "WAGNER",
"middle_name": "ROSE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.