Individual provider Active NPI

Michael Camacho, PT, DPT, OCS

  • Orthopedic Physical Therapist
  • Clifton, NJ
National Provider Identifier
1760810261
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA01471300 Issued in NJ
Practice address
2 Brighton Rd Ste 406
Clifton, NJ 07012-1669
Phone
(201) 396-0523
NPI assigned
Oct 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA01471300 NJ Primary

Addresses

Primary practice location

2 Brighton Rd Ste 406
Clifton, NJ 07012-1669

Mailing address

127 Lee St
Elmwood Park, NJ 07407-2110

Other practice location 1

50 Mount Prospect Ave
Clifton, NJ 07013-1900
Phone (201) 330-0682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171117000543 NJ Practitioner - Physical Therapist in Private Practice 5991061327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Occupational and Physical Therapy, PLLCGroup PAC ID 3779873401, 497 clinicians

Practice addresses (Care Compare)

524 Williamstown Rd
Sicklerville, NJ 08081-1800
Phone (856) 516-0593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Feb 1, 2021 Accepting new patients
Professional Occupational & Physical Therapy, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Feb 1, 2021 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Orthopedic Current Accepting new patients

Locations

2 Brighton Rd
Ste 406
Clifton, NJ 07012
Phone (973) 928-6969

121 S Main St
Ste B
Lodi, NJ 07644
Phone (973) 313-8840

999 Route 73 N
Ste 401
Marlton, NJ 08053

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

524 Williamstown Rd
Sicklerville, NJ 08081
Phone (856) 262-9564

576 Broadhollow Rd
Melville, NY 11747

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": "1382054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1760810261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LEE ST",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BRIGHTON RD STE 406",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121669",
            "telephone_number": "201-396-0523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Mount Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070131900",
            "country_code": "US",
            "telephone_number": "201-330-0682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-18",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01471300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.