Active NPI
Paul Nicholas Campos, PTA
- Physical Therapy Assistant
- Rockport, TX
National Provider Identifier
1063947257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2121623
- Practice address
- 812 S Magnolia St
Rockport, TX 78382-2438 - Phone
- (361) 205-4303
- NPI assigned
- Apr 25, 2017
- Last updated
- Apr 25, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2121623 | TX | Primary |
Addresses
Primary practice location
812 S Magnolia St
Rockport, TX 78382-2438
Mailing address
812 S Magnolia St
Rockport, TX 78382-2438
Phone (361) 205-4303
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 |
|---|---|---|---|
| 2121623 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1063947257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 S MAGNOLIA ST",
"city": "ROCKPORT",
"state": "TX",
"postal_code": "783822438",
"telephone_number": "361-205-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 S MAGNOLIA ST",
"city": "ROCKPORT",
"state": "TX",
"postal_code": "783822438",
"telephone_number": "361-205-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS",
"first_name": "PAUL",
"middle_name": "NICHOLAS",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-25",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2121623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockport, TX
- Amanda Lynn Brown, MA, LPC
- Ronald W Bruce, D.O.
- C H Wilkinson Physician Network (Christus Spohn Medical Group Shoreline Orthopedics)
- C3Erow, LLC (Code 3 ER at Rockport)
- Lorraine Michele Cameron, ATC/L
- Care Physician Group (Care MSO MBR)
- Care Physician Group Management (Care MSO MBR)
- Mark Salce Carrillo, RPH, PHARMD
- Rebecca Lynn Carter
- Kristin Renae Chandler-Luna, RD, LD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.