Active NPI
Sean Campbell
- Physical Therapist
- Avon, IN
National Provider Identifier
1023988664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05016230A
- Practice address
- 1086 N Avon Ave
Avon, IN 46123-8863 - Phone
- (317) 688-7660
- NPI assigned
- Nov 10, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05016230A | IN | Primary |
Addresses
Primary practice location
1086 N Avon Ave
Avon, IN 46123-8863
Mailing address
4230 Guilford Ave
Indianapolis, IN 46205-1920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1086 N Avon Ave
Iroc Physical Therapy
Avon, IN 46123-8863
Phone (317) 688-7660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05016230A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primus Health | Physical Therapist | Current | Accepting new patients |
Locations
1086 N Avon Ave
Avon, IN 46123
Phone (317) 451-6444
1150 W 86th St
Indianapolis, IN 46260
Phone (317) 407-8109
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1023988664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 GUILFORD AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462051920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 N AVON AVE",
"city": "AVON",
"state": "IN",
"postal_code": "461238863",
"telephone_number": "317-688-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "SEAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-10",
"certification_date": "2025-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05016230A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.