Active NPI
Sergio Rocamora
- Physical Therapy Assistant
- Wake Forest, NC
National Provider Identifier
1659031128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A7217
- Practice address
- 907 Copper Beech LN
Wake Forest, NC 27587-1927 - Phone
- (646) 250-0629
- NPI assigned
- Dec 26, 2021
- Sex
- Male
- 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 Therapy Assistant | 225200000X | A7217 | NC | Primary |
Addresses
Primary practice location
907 Copper Beech LN
Wake Forest, NC 27587-1927
Mailing address
907 Copper Beech LN
Wake Forest, NC 27587-1927
Phone (646) 250-0629
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 |
|---|---|---|---|
| A7217 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640476800000",
"number": "1659031128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 COPPER BEECH LN",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275871927",
"telephone_number": "646-250-0629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 COPPER BEECH LN",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275871927",
"telephone_number": "646-250-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCAMORA",
"first_name": "SERGIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-26",
"last_updated": "2021-12-26",
"certification_date": "2021-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A7217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.