Active NPI
Camille Velardo
- Developmental Therapist
- Jacksonville, FL
National Provider Identifier
1770913063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 3663 Crown Point CT
Jacksonville, FL 32257-5967 - Phone
- (904) 288-8910
- NPI assigned
- Nov 22, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
3663 Crown Point CT
Jacksonville, FL 32257-5967
Mailing address
3663 Crown Point CT
Jacksonville, FL 32257-5967
Phone (904) 288-8910
Other practice location 1
12276 San Jose Blvd
Ste 507
Jacksonville, FL 32223-8628
Phone (904) 288-8910
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Play Works Therapies, P.a. | Developmental Therapist | Past | Accepting new patients |
| Play Works Therapies, P.a. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Jacksonville, FL
- NPI 1043257678
-
- Developmental Therapist
- Jacksonville, FL
- NPI 1215679501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1770913063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3663 CROWN POINT CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575967",
"telephone_number": "904-288-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 CROWN POINT CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575967",
"telephone_number": "904-288-8910"
}
],
"practiceLocations": [
{
"address_1": "12276 San Jose Blvd",
"address_2": "Ste 507",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322238628",
"country_code": "US",
"telephone_number": "904-288-8910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELARDO",
"first_name": "CAMILLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.