Cameron Michelle Bisbey, MPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1186560 Issued in TX

Practice address

101 Watermere Dr
Southlake, TX 76092-8116

Phone

(817) 524-0872

NPI assigned

Feb 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cameron Michelle Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1972003143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WATERMERE DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WATERMERE DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928116",
            "telephone_number": "817-524-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISBEY",
        "first_name": "CAMERON",
        "middle_name": "MICHELLE",
        "credential": "MPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1186560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMERON",
            "last_name": "SMITH",
            "middle_name": "MICHELLE",
            "credential": "MPT, PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsea Bice, LPC
• Bill Luu DDS PLLC
• Bio-Medical Applications of Texas, Inc.
• Alyssa Nicole Birdwell
• Samantha Birtalan
• Lisa Bishop, OD
• Jeff Black, MA, LPC
• Jeanne Marie Blakeslee, PMHNP
• Angelica Bledsoe, RBT
• Bloom Primary TX II, PA

• Physical Therapist in Southlake, TX
• Providers in Southlake, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.