Carlene Campbell-Diaz, OT, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0T2220 Issued in FL

Practice address

7600 SW 57TH Ave
South Miami, FL 33143-5428

Phone

(786) 295-7101

NPI assigned

Oct 24, 2011

Last updated

Jan 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1881970788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566601",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "332566601",
            "telephone_number": "786-295-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SW 57TH AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435428",
            "telephone_number": "786-295-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL-DIAZ",
        "first_name": "CARLENE",
        "credential": "OT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "0T2220",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "0T2220",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "FL",
            "license": "0T2220",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "FL",
            "license": "0T2220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Ricardo Camacho, AP
• Mikaela Dominique Camacho, MD
• Nicholas Camejo, A.R.N.P
• Lauren Amelia Cameron, MD
• Melissa Denise Campana, CRNA
• Damion Campbell, MD
• Sebastian Campuzano Arias, MD
• Charlene A Canali, D.C.
• Patricia De la Caridad Canals Morlan
• Mayelin Canizares, NP-C

• Occupational Therapist in South Miami, FL
• Providers in South Miami, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.