NPIMap

Organization Active NPI

Cam Physical Therapy and Wellness Services LLC

  • Physical Therapist
  • Laurel, MD
National Provider Identifier
1881775161
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CAM PHYSICAL THERAPY AND WELLNESS SERVICES LLC
Practice address
14205 Park Center Dr Ste 204
Laurel, MD 20707-5252
Phone
(301) 853-0093
Fax
(301) 853-0096
NPI assigned
Oct 17, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Janesa Paver
Title
Practice Administrator
Phone
(301) 859-3193

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

14205 Park Center Dr Ste 204
Laurel, MD 20707-5252

Mailing address

14205 Park Center Dr Ste 204
Laurel, MD 20707-5252
Phone (301) 853-0093

Other identifiers 1

IdentifierTypeStateIssuer
336305801MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050701000731 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234175076 Receives reassigned benefits from 10 practitioners
Practice locations: Bowie, MD; Glenn Dale, MD; Hyattsville, MD; Laurel, MD; Rockville, MD; Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

3828 International Dr
Silver Spring, MD 20906
Phone (301) 853-0093

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1881775161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 PARK CENTER DR STE 204",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075252",
            "telephone_number": "301-853-0093",
            "fax_number": "301-853-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 PARK CENTER DR STE 204",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075252",
            "telephone_number": "301-853-0093",
            "fax_number": "301-853-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAM PHYSICAL THERAPY AND WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "PAVER",
        "authorized_official_first_name": "JANESA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "301-859-3193"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336305801",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.