Daniel Edward Campbell

Individual provider Active NPI Physical Therapist · Aptos, CA

NPI 1104422047 · NPPES record last updated Dec 7, 2020

Key facts

NPI
1104422047
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
2505 Cabrillo College Dr
Aptos, CA 95003-3166
Phone
(831) 464-3901
NPI assigned
Dec 7, 2020
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronning Physical Therapy, Inc. (7 clinicians)

Practice addresses (Care Compare)

2505 Cabrillo College Dr
C
Aptos, CA 95003-3166
Phone (831) 464-3901

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210227000104 CA Practitioner - Physical Therapist in Private Practice 0244645125 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Ronning Physical Therapy, Inc. Physical Therapist Current
since Jan 13, 2021
Accepting new patients

Locations

2505 Cabrillo College Dr
Aptos, CA 95003
Phone (831) 464-3901

2505 Cabrillo College Dr
#C
Aptos, CA 95003
Phone (831) 464-3901

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CA Yes

Addresses

Primary practice location

2505 Cabrillo College Dr
Aptos, CA 95003-3166

Mailing address

449 Canon del Sol
La Selva Beach, CA 95076-1849
Phone (805) 403-9025

Other providers in Aptos, CA

All providers in Aptos, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.