Shari Lyn Campanell, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3864 Issued in OK

Practice address

1414 S Denver Ave
Tulsa, OK 74119-3423

Phone

(918) 712-7805

Fax

(918) 712-7813

NPI assigned

Nov 6, 2014

Sex

Female

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 OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Functional Pathways Preferred of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1841561446

  OK

  Medicare reassignment Care Compare group NPD
• Cross Keys Physical Therapy Sports Medical Center, Inc

  • Physical Therapist
  • Turnersville, NJ
  • NPI 1528128600
  NPD (past)

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1104222991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 S NORFOLK AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741205009",
            "telephone_number": "918-403-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S DENVER AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741193423",
            "telephone_number": "918-712-7805",
            "fax_number": "918-712-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANELL",
        "first_name": "SHARI",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Cameron, LPC-CANDIDATE
• Julianne Cammack, APRN
• J. Letitia E Cammon, M.A., LPC
• Erin Camp
• Manuel Rolando Campa-Moreno Jr.
• Sierra Taylor Campbell-Voges
• Allyson Michelle Campbell, PA-C
• Amy Marie Campbell, PA
• Andre Gregrolle John Campbell, M.A.,LMFT.LADC.
• Ann Elaine Campbell, M.D.

• Physical Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.