Individual provider Active NPI

Camille Peters, OT/L

  • Occupational Therapist
  • Boca Raton, FL
National Provider Identifier
1841668415
Registry record updated Sep 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
003418 Issued in FL
Practice address
9580 Lake Serena Dr
Boca Raton, FL 33496-6517
Phone
(786) 223-7139
NPI assigned
Sep 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 003418 FL Primary

Addresses

Primary practice location

9580 Lake Serena Dr
Boca Raton, FL 33496-6517

Mailing address

3631 Turtle Run Blvd
#724
Coral Springs, FL 33067-4207
Phone (786) 223-7139

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151204001407 FL Practitioner - Occupational Therapist in Private Practice 2961702493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sobe Innovative Rehabilitation PLLC Occupational Therapist CurrentSince May 15, 2017 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

1080 NW 15th St
Boca Raton, FL 33486
Phone (561) 330-8451

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": "1442016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442016000000",
    "number": "1841668415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 TURTLE RUN BLVD",
            "address_2": "#724",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674207",
            "telephone_number": "786-223-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 LAKE SERENA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334966517",
            "telephone_number": "786-223-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CAMILLE",
        "credential": "OT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-12",
        "last_updated": "2015-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "003418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; 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.