Individual provider Active NPI

Carmen L Ocampo, MA

  • Physical Therapy Assistant
  • Miami, FL
National Provider Identifier
1861792392
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA26012 Issued in FL
Practice address
8168 NW 10TH St Apt 4
Miami, FL 33126-2829
Phone
(786) 546-6595
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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 PTA26012 FL Primary

Addresses

Primary practice location

8168 NW 10TH St Apt 4
Miami, FL 33126-2829

Mailing address

8168 NW 10TH St Apt 4
Miami, FL 33126-2829
Phone (786) 546-6595

Other identifiers 1

IdentifierTypeStateIssuer
PTA26012OtherFLFLORIDA STATE LICENSE

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PTA26012FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1861792392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8168 NW 10TH ST APT 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262829",
            "telephone_number": "786-546-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8168 NW 10TH ST APT 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262829",
            "telephone_number": "786-546-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCAMPO",
        "first_name": "CARMEN",
        "middle_name": "L",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA26012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "PTA26012",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.