Carrie K Cameron, DPT, ATC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

3163 Issued in NV

Practice address

100 W Liberty St
Suite 170
Reno, NV 89501-1962

Phone

(415) 794-3113

NPI assigned

Mar 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports and Performance Physical TherapyGroup PAC ID 1759673031, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sports & Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • Reno, NV
  • NPI 1144675125

  Orthopedic

  Medicare reassignment Care Compare group NPD Authorized official
• San Ramon Valley Physical Therapy Inc.

  • Orthopedic Physical Therapist
  • Danville, CA
  • NPI 1215005921
  NPD (past)

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1669613402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W LIBERTY ST",
            "address_2": "SUITE 170",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W LIBERTY ST",
            "address_2": "SUITE 170",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011962",
            "telephone_number": "415-794-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "CARRIE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "32635",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NV",
            "license": "3163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ13644Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Camargo
• Carolina Camberos
• Laura Christine Cambra, RDH
• Angela M Cameron, RDH PHE
• Candice M Cameron, PA-C
• Kadi Camp
• Lisa Campanaro
• Lydia Campanile
• Shawna Jeanine Campbell-Laxague, LMSW, CSW INTERN
• Ann M Campbell, DMD

• Orthopedic Physical Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Orthopedic Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.