Active NPI
Kevin D Camden, PT, OCS
- Physical Therapist
- Belvidere, IL
National Provider Identifier
1710099395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 522 S State St
Belvidere, IL 61008-3709 - Phone
- (815) 547-4777
- Fax
- (815) 547-1024
- NPI assigned
- Aug 31, 2006
- 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 Therapist | 225100000X | IL | Primary |
Addresses
Primary practice location
522 S State St
Belvidere, IL 61008-3709
Mailing address
6192 Muirfield LN
Rockford, IL 61114-7830
Phone (815) 547-4777
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070-006399 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Rehabilitation and Wellness Clinic, LLC | Past | Accepting new patients | |
| Belvidere Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Neck to Back Rockford LLC | Past | Accepting new patients | |
| Ogle County Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
| Occupational Health Services 1 | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba CORA Physical Therapy - Belvidere
- Rehabilitation Clinic/Center
- Belvidere, IL
- NPI 1083719033
Physical Therapist
-
- Family Medicine Physician
- Rockford, IL
- NPI 1427004084
-
- Physical Therapy Clinic/Center
- Sterling, IL
- NPI 1285974311
-
dba CORA Physical Therapy - Ogle County
- Rehabilitation Clinic/Center
- Byron, IL
- NPI 1205993326
Physical Therapist
-
dba Neck to Back Medical Clinic
- Family Medicine Physician
- Rockford, IL
- NPI 1376789545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710099395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6192 MUIRFIELD LN",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611147830",
"telephone_number": "815-547-4777",
"fax_number": "815-547-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 S STATE ST",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610083709",
"telephone_number": "815-547-4777",
"fax_number": "815-547-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMDEN",
"first_name": "KEVIN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PT, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belvidere, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.