Individual provider Active NPI

Ted Kamp, DPT

  • Physical Therapist
  • Raton, NM
National Provider Identifier
1851371629
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2770 Issued in NM
Practice address
160 Hospital Dr
Raton, NM 87740-2002
Phone
(575) 445-0111
Fax
(575) 445-0112
NPI assigned
Jan 18, 2006
Last updated
Jun 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2770 NM Primary

Addresses

Primary practice location

160 Hospital Dr
Raton, NM 87740-2002

Mailing address

PO Box 608
Raton, NM 87740-0608
Phone (575) 445-0111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505000464 NM Practitioner - Physical Therapist in Private Practice 2668500042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Physical Therapy IncGroup PAC ID 5890777585, 3 clinicians

Practice addresses (Care Compare)

160 Hospital Dr
Raton, NM 87740-2002
Phone (505) 445-0111

Merit-based Incentive Payment System (MIPS)

Final score
69.12 of 100Reported as individual
Quality
33.33
Improvement activities
40
Cost
81.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2770NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Physical Therapy, Inc Physical Therapist CurrentSince Apr 29, 2002 Accepting new patients

Locations

160 Hospital Dr
Raton, NM 87740
Phone (505) 445-0111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1851371629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877400608",
            "telephone_number": "575-445-0111",
            "fax_number": "575-445-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402002",
            "telephone_number": "575-445-0111",
            "fax_number": "575-445-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMP",
        "first_name": "TED",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raton, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.