Jason Paul Campbell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1219161 Issued in TX

Practice address

3512 Highway 365
Nederland, TX 77627-7834

Phone

(409) 722-7116

Fax

(409) 722-7450

NPI assigned

Mar 1, 2013

Last updated

Mar 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proficient Rehabilitation LLCGroup PAC ID 4587066253, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Proficient Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Nederland, TX
  • NPI 1992210751

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Memorial Hermann Health System

  dba Memorial Hermann TRC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Nederland, TX
  • NPI 1578561619
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Northern Louisiana

  dba Christus Shreveport-Bossier Health System

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1417950106
  Care Compare affiliation

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1023358934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 HIGHWAY 365",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277834",
            "telephone_number": "409-722-7116",
            "fax_number": "409-722-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 HIGHWAY 365",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277834",
            "telephone_number": "409-722-7116",
            "fax_number": "409-722-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JASON",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1219161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Burris, PHARMD
• Kari Butler, FNP-C
• C & M Geriatric Services LLP
• C G Patel MD PA
• Jennifer Caltzontzin
• Traci Campbell, PT, DPT
• Cara Counseling & Consulting
• Kelsie Sue Carlquist
• Rita Marie Carriker-Fields, M.D.
• Sharon Sue Carter

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.