Sherry Lyn Parel Camata

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

PT25013 Issued in FL

Practice address

4600 Middleton Park Cir E
Jacksonville, FL 32224-5691

Phone

(904) 322-1271

NPI assigned

Nov 21, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1659080463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 CHANCELLOR DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258178",
            "telephone_number": "904-322-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MIDDLETON PARK CIR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245691",
            "telephone_number": "904-322-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMATA",
        "first_name": "SHERRY LYN",
        "middle_name": "PAREL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "PT25013",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT25013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9043221271",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "9043221271",
            "affiliation": "N",
            "endpointDescription": "cellphone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "573 Chancellor Dr W",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322258178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "9043221271",
            "affiliation": "N",
            "endpointDescription": "cellphone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "573 Chancellor Dr W",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322258178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cristina E Camacho, ARNP
• George Camacho, M.D.
• German Camacho, M.D.
• Yolanda R Camacho
• Kristopher Santiago Camaraza, APRN, CRNA
• Tomas Edward Camblor, SFIDC
• Camden Elite Care LLC
• Camelia Kelly
• Ayna Camero Perez, BCBA
• Marcia McDonough Camero, APRN

• Neurology Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Neurology Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.