Organization Active NPI

Camarillo Physical Therapy, Inc

  • Physical Therapist
  • Camarillo, CA
National Provider Identifier
1881451045
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CAMARILLO PHYSICAL THERAPY, INC
Practice address
4000 Calle Tecate Ste 117
Camarillo, CA 93012-5285
Phone
(805) 383-0470
Fax
(805) 856-1582
NPI assigned
Mar 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Sejal Doshi, PTNPI 1306919303
Title
Ceo
Phone
(201) 674-9798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4000 Calle Tecate Ste 117
Camarillo, CA 93012-5285

Mailing address

4000 Calle Tecate Ste 117
Camarillo, CA 93012-5285
Phone (805) 383-0470

Other practice location 1

850 Hampshire Rd Ste Ab
Thousand Oaks, CA 91361-2800
Phone (805) 383-0470

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240624000551 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274076989 Receives reassigned benefits from 10 practitioners
Practice locations: Camarillo, CA; Westlake Village, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1881451045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CALLE TECATE STE 117",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125285",
            "telephone_number": "805-383-0470",
            "fax_number": "805-856-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CALLE TECATE STE 117",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125285",
            "telephone_number": "805-383-0470",
            "fax_number": "805-856-1582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Hampshire Rd Ste Ab",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913612800",
            "country_code": "US",
            "telephone_number": "805-383-0470",
            "fax_number": "805-856-1582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAMARILLO PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "DOSHI",
        "authorized_official_first_name": "SEJAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-674-9798",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.