Anita Campbell, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

006476 Issued in NY

Practice address

11 Hilltop LN
Wheatley Heights, NY 11798-1303

Phone

(631) 920-6575

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anita Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1104925726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HILLTOP LN",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117981303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HILLTOP LN",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117981303",
            "telephone_number": "631-920-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "006476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006476",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "BROWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fizza J Bokhari, RD/CDN
• Latoya Nadine Brown-Hunt, RN
• Lorraine Patricia Burke, R.N.
• Lynette Bush Blackwell
• C.M. Ryan Nurse Practitioner Adult Health, PLLC
• Bianca Barbara Ann Campbell, MSN, RN, FNP-BC
• Monique Renee Carroll, R.N.
• Fritza R. Charles
• Yasir Choudhury, PHARMD
• Michelle Y Cooke

• Physical Therapy Assistant in Wheatley Heights, NY
• Providers in Wheatley Heights, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.