Individual provider Active NPI

Cameron Wade Lephew, DPT

  • Physical Therapist
  • Roanoke, VA
National Provider Identifier
1649656794
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209678 Issued in VA
Practice address
4600 Brambleton Ave Ste B
Roanoke, VA 24018-3437
Phone
(540) 774-0729
Fax
(540) 774-0862
NPI assigned
Jul 30, 2015
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 2305209678 VA Primary

Addresses

Primary practice location

4600 Brambleton Ave Ste B
Roanoke, VA 24018-3437

Mailing address

825 Davis St Ste B
Blacksburg, VA 24060-7009
Phone (540) 774-0729

Other practice location 1

1620 Apperson Dr
Salem, VA 24153-7217
Phone (540) 444-0291

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

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1649656794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 DAVIS ST STE B",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607009",
            "telephone_number": "540-774-0729",
            "fax_number": "540-774-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BRAMBLETON AVE STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183437",
            "telephone_number": "540-774-0729",
            "fax_number": "540-774-0862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Apperson Dr",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537217",
            "country_code": "US",
            "telephone_number": "540-444-0291",
            "fax_number": "540-444-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEPHEW",
        "first_name": "CAMERON",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.