Individual provider Active NPI

Jeffrey K Camp, PTA

  • Physical Therapy Assistant
  • San Antonio, TX
National Provider Identifier
1720958978
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2170600 Issued in TX
Practice address
414 W Sunset Rd Ste 110
San Antonio, TX 78209-1769
Phone
(210) 828-7557
Fax
(210) 828-7756
NPI assigned
Nov 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2170600 TX Primary

Addresses

Primary practice location

414 W Sunset Rd Ste 110
San Antonio, TX 78209-1769

Mailing address

414 W Sunset Rd Ste 110
San Antonio, TX 78209-1769
Phone (210) 828-7557

Other practice location 1

150 E Sonterra Blvd Ste 305
San Antonio, TX 78258-5054
Phone (210) 828-7557 ext. 110

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2170600TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1720958978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W SUNSET RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091769",
            "telephone_number": "210-828-7557",
            "fax_number": "210-828-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W SUNSET RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091769",
            "telephone_number": "210-828-7557",
            "fax_number": "210-828-7756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Sonterra Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782585054",
            "country_code": "US",
            "telephone_number": "210-828-7557 x110",
            "fax_number": "210-828-7756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMP",
        "first_name": "JEFFREY",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2170600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.