Active NPI
Camaran Wilt, PT, DPT
- Pediatric Physical Therapist
- Rockport, ME
National Provider Identifier
1912408972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT6884
- Practice address
- 15 Anchor Dr
Rockport, ME 04856-3846 - Phone
- (207) 301-6380
- NPI assigned
- Feb 26, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P21707 | NC | |
| Pediatric Physical Therapist | 2251P0200X | PT6884 | ME | Primary |
Addresses
Primary practice location
15 Anchor Dr
Rockport, ME 04856-3846
Mailing address
15 Anchor Dr
Rockport, ME 04856-3846
Phone (207) 301-6380
Other practice location 1
1289 Oliver St
Fayetteville, NC 28304-4450
Phone (910) 483-4833
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 |
|---|---|---|---|
| P21707 | NC | MD | Physical Therapist |
| PT6884 | ME | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Developmental Therapy | Physical Therapist | Past | Accepting new patients |
| Pediatric Developmental Therapy | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Practitioner
- Fayetteville, NC
- NPI 1710183991
-
- Speech-Language Pathologist
- Fayetteville, NC
- NPI 1730137779
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1912408972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ANCHOR DR",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048563846",
"telephone_number": "207-301-6380",
"fax_number": "910-483-8335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ANCHOR DR",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048563846",
"telephone_number": "207-301-6380"
}
],
"practiceLocations": [
{
"address_1": "1289 Oliver St",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283044450",
"country_code": "US",
"telephone_number": "910-483-4833",
"fax_number": "910-483-8335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILT",
"first_name": "CAMARAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P21707",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "ME",
"license": "PT6884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.