Individual provider Active NPI

Kevin D Camden, PT, OCS

  • Physical Therapist
  • Belvidere, IL
National Provider Identifier
1710099395
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
070-006399ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Mar 1, 2003 Accepting new patients
Occupational Health Services 1 PastSince Jan 1, 2013 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.

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.

Verify at the official NPI Registry.