Active NPI
Renita Sun Camacho, OTD, OTR/L
- Occupational Therapist
- Dallas, TX
National Provider Identifier
1902426943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 124852
- Practice address
- 5440 Harvest Hill Rd Ste 146
Dallas, TX 75230-6414 - Phone
- (972) 587-7375
- NPI assigned
- Apr 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 124852 | TX | Primary |
Addresses
Primary practice location
5440 Harvest Hill Rd Ste 146
Dallas, TX 75230-6414
Mailing address
5440 Harvest Hill Rd Ste 146
Dallas, TX 75230-6414
Phone (972) 587-7375
Other names 1
- Renita Dariya Sun
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124852 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talking Tadpoles, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1902426943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5440 HARVEST HILL RD STE 146",
"city": "DALLAS",
"state": "TX",
"postal_code": "752306414",
"telephone_number": "972-587-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5440 HARVEST HILL RD STE 146",
"city": "DALLAS",
"state": "TX",
"postal_code": "752306414",
"telephone_number": "972-587-7375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO",
"first_name": "RENITA",
"middle_name": "SUN",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-20",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "124852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENITA",
"last_name": "SUN",
"middle_name": "DARIYA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.