Individual provider Active NPI

Mary Helen Camacho, OT

  • Occupational Therapist
  • Morristown, NJ
National Provider Identifier
1689230161
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00076000 Issued in NJ
Practice address
25 Lindsley Dr Ste 311
Morristown, NJ 07960-4456
Phone
(973) 936-8566
Fax
(862) 260-9002
NPI assigned
May 10, 2019
Last updated
May 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00076000 NJ Primary

Addresses

Primary practice location

25 Lindsley Dr Ste 311
Morristown, NJ 07960-4456

Mailing address

25 Lindsley Dr Ste 311
Morristown, NJ 07960-4456
Phone (973) 936-8566

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

State licenses

LicenseStateTypeSpecialty
46TR00076000NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Medical Associates of Morristown, P.a. CurrentSince Nov 3, 2024 Accepting new patients
Morristown Family Chiropractic Inc Past Accepting new patients

Locations

25 Lindsley Dr
Ste 311
Morristown, NJ 07960
Phone (973) 538-5844

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1689230161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LINDSLEY DR STE 311",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604456",
            "telephone_number": "973-936-8566",
            "fax_number": "862-260-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LINDSLEY DR STE 311",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604456",
            "telephone_number": "973-936-8566",
            "fax_number": "862-260-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "MARY",
        "middle_name": "HELEN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00076000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.