Individual provider Active NPI

Cameron York, DPT

  • Physical Therapist
  • Manchester, NH
National Provider Identifier
1811414865
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4950 Issued in NH
Practice address
835 Hanover St Ste 102
Manchester, NH 03104-5401
Phone
(603) 625-1864
Fax
(603) 668-7181
NPI assigned
Aug 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X
Physical Therapist 225100000X 4950 NH Primary

Addresses

Primary practice location

835 Hanover St Ste 102
Manchester, NH 03104-5401

Mailing address

835 Hanover St Ste 102
Manchester, NH 03104-5401
Phone (603) 625-1864

Other practice location 1

750 W Hampden Ave
Suite 105
Englewood, CO 80110
Phone (303) 945-3299 ext. 920

Other identifiers 2

IdentifierTypeStateIssuer
840609239OtherCOWORK COMP
4950OtherNHPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220221001088 NH Practitioner - Physical Therapist in Private Practice 0749674539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4950NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Physical Therapy Physical Therapist CurrentSince Feb 16, 2022 Accepting new patients

Locations

40 S River Rd
Unit 58
Bedford, NH 03110
Phone (603) 626-4205

12 Parmenter Rd
Unit C7
Londonderry, NH 03053
Phone (603) 434-6592

835 Hanover St
Ste 102
Manchester, NH 03104
Phone (603) 625-1864

Organizations & group practices 1

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811414865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 HANOVER ST STE 102",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045401",
            "telephone_number": "603-625-1864",
            "fax_number": "603-668-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HANOVER ST STE 102",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045401",
            "telephone_number": "603-625-1864",
            "fax_number": "603-668-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 W Hampden Ave",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "80110",
            "country_code": "US",
            "telephone_number": "303-945-3299 x920",
            "fax_number": "303-762-9072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORK",
        "first_name": "CAMERON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP",
            "identifier": "840609239",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "4950",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.