Active NPI
Marcie Campbell, OT
- Occupational Therapist
- Grand Prairie, TX
National Provider Identifier
1023482890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 116974
- Practice address
- 1906 Surrey Cir
Grand Prairie, TX 75050-6329 - Phone
- (817) 437-5876
- Fax
- (817) 665-9197
- NPI assigned
- Nov 17, 2015
- Last updated
- Nov 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 116974 | TN | Primary |
Addresses
Primary practice location
1906 Surrey Cir
Grand Prairie, TX 75050-6329
Mailing address
1906 Surrey Cir
Grand Prairie, TX 75050-6329
Phone (817) 437-5876
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 |
|---|---|---|---|
| 116974 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1023482890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906 SURREY CIR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750506329",
"telephone_number": "817-437-5876",
"fax_number": "817-665-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 SURREY CIR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750506329",
"telephone_number": "817-437-5876",
"fax_number": "817-665-9197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "MARCIE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "116974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.