Individual provider Active NPI

Camille Helene Roux, PT

  • Physical Therapist
  • Malden, MA
National Provider Identifier
1861996118
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23026 Issued in MA
Practice address
388 Pleasant St Ste 305
Malden, MA 02148-8143
Phone
(781) 388-0012
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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 23026 MA Primary

Addresses

Primary practice location

388 Pleasant St Ste 305
Malden, MA 02148-8143

Mailing address

8 Oakland St Unit 2
Cambridge, MA 02139-1325
Phone (617) 301-2843

Other names 1

  • Camille H Houtmann Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1861996118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 OAKLAND ST UNIT 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391325",
            "telephone_number": "617-301-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 PLEASANT ST STE 305",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021488143",
            "telephone_number": "781-388-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUX",
        "first_name": "CAMILLE",
        "middle_name": "HELENE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "HOUTMANN",
            "middle_name": "H",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.