Sandra Sue Campbell, COTAL

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

C1617 Issued in WV

Practice address

1 Sutphin Dr
Marmet, WV 25315-1977

Phone

(304) 949-1580

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114043494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "city": "ANSTED",
            "state": "WV",
            "postal_code": "258120224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUTPHIN DR",
            "city": "MARMET",
            "state": "WV",
            "postal_code": "253151977",
            "telephone_number": "304-949-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SANDRA",
        "middle_name": "SUE",
        "credential": "COTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C1617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Darlene Barker
• Earl Thomas Bennett, RPH
• Mistie Dawn Bess, COTA
• Dierdre Bradley
• Jonathan Thomas Burnside, PHARM D.
• Darlene Chapman
• Jo Anne Christian, R.PH.
• Carrie Janel Christman, LPTA
• Carolyn Clark
• Sarah Elizabeth Crowder, PTA

• Occupational Therapy Assistant in Marmet, WV
• Providers in Marmet, WV by specialty
• Occupational Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.