Active NPI
Steven Campbell, PT
- Physical Therapist
- Malden, MA
National Provider Identifier
1023201332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20591
- Practice address
- 40 Eastern Ave
Malden, MA 02148-5014 - Phone
- (800) 760-5196
- NPI assigned
- Aug 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20591 | FL | Primary |
| Physical Therapist | 225100000X | 006088 | CT | |
| Physical Therapist | 225100000X | 16862 | MA |
Addresses
Primary practice location
40 Eastern Ave
Malden, MA 02148-5014
Mailing address
40 Eastern Ave
Malden, MA 02148-5014
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 |
|---|---|---|---|
| 006088 | CT | MD | Physical Therapist |
| 16862 | MA | MD | Physical Therapist |
| 20591 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross Country Travcorps | 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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Malden, MA
- NPI 1376827469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1023201332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 EASTERN AVE",
"city": "MALDEN",
"state": "MA",
"postal_code": "021485014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 EASTERN AVE",
"city": "MALDEN",
"state": "MA",
"postal_code": "021485014",
"telephone_number": "800-760-5196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "20591",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "006088",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "16862",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.