Individual provider Active NPI

Adrian Daren Cameron, LPTA

  • Physical Therapy Assistant
  • Tuscaloosa, AL
National Provider Identifier
1851496772
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA 617 Issued in AL
Practice address
1110 6TH Ave E
Tuscaloosa, AL 35401-3207
Phone
(205) 759-1211
Fax
(205) 722-1009
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 617 AL Primary

Addresses

Primary practice location

1110 6TH Ave E
Tuscaloosa, AL 35401-3207

Mailing address

PO Box 2817
Tuscaloosa, AL 35403-2817
Phone (205) 759-1211

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

State licenses

LicenseStateTypeSpecialty
PTA 617ALMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Alabama, Inc. Easter Seals West Alabama PastSince Oct 5, 2021 Accepting new patients
Easter Seals Alabama, Inc. Easter Seals West Alabama 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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851496772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2817",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032817",
            "telephone_number": "205-759-1211",
            "fax_number": "205-722-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 6TH AVE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354013207",
            "telephone_number": "205-759-1211",
            "fax_number": "205-722-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "ADRIAN",
        "middle_name": "DAREN",
        "name_prefix": "Mr.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA 617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.