Susan Jane Campbell, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-03669 Issued in KS

Practice address

101 E Elm St
Columbus, KS 66725-1820

Phone

(256) 810-8290

NPI assigned

Sep 23, 2009

Last updated

Feb 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• The Max Therapy Center, LLC

  • Physical Therapist
  • Columbus, KS
  • NPI 1710577549
  Authorized official Same address or phone

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1013241108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SW 20TH ST",
            "city": "COLUMBUS",
            "state": "KS",
            "postal_code": "667258478",
            "telephone_number": "256-810-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E ELM ST",
            "city": "COLUMBUS",
            "state": "KS",
            "postal_code": "667251820",
            "telephone_number": "256-810-8290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 SW 20th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "KS",
            "postal_code": "667258478",
            "country_code": "US",
            "telephone_number": "256-810-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200621250A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Leslie A. Brand
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• Class LTD
• Class LTD
• Class LTD
• Columbus Pharmacy Inc (Columbus Family Pharmacy)

• Physical Therapist in Columbus, KS
• Providers in Columbus, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.