Individual provider Active NPI

Rachel Rose Cameron, DPT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1629400940
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014462 Issued in OH
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

Updated by the provider on Oct 31, 2016

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 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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131023001659 OH Practitioner - Physical Therapist in Private Practice 3375778541 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014462OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 19, 2022 Accepting new patients
Rehabilitation Institute of Cincinnati, LLC PastSince Aug 12, 2013 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.

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.

Verify at the official NPI Registry.