MEDICARE: CAM PHYSICAL THERAPY AND WELLNESS SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669013462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAM PHYSICAL THERAPY AND WELLNESS SERVICES LLC

Provider Business Mailing Address
First Line	:	14205 PARK CENTER DR STE 204
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-5252
Country	:	US
Telephone Number	:	301-853-0093
Fax Number	:	301-853-0096

Provider Business Practice Location Address
First Line	:	3311 TOLEDO TER STE A1&A2
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-4135
Country	:	US
Telephone Number	:	301-853-0093
Fax Number	:	301-853-0096

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	JANESA PAVER
Credential	:
Telephone Number	:	301-853-0093

Provider Enumeration Date	:	10/02/2019
Last Update Date	:	06/05/2026

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Directions to “CAM PHYSICAL THERAPY AND WELLNESS SERVICES LLC ” Practice Location

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