Individual provider Active NPI

Valerie G Campo, P,T.

  • Physical Therapist
  • New York, NY
National Provider Identifier
1124307764
Registry record updated Aug 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017641 Issued in NY
Practice address
171 E 84TH St
Apt 2RW
New York, NY 10028-2000
Phone
(212) 327-0600
NPI assigned
Aug 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 017641 NY Primary

Addresses

Primary practice location

171 E 84TH St
Apt 2RW
New York, NY 10028-2000

Mailing address

513 E 81St St
Apt 2RW
New York, NY 10028-2500
Phone (718) 877-6203

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

LicenseStateTypeSpecialty
017641NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1313280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313280000000",
    "number": "1124307764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 E 81ST ST",
            "address_2": "APT 2RW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282500",
            "telephone_number": "718-877-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 E 84TH ST",
            "address_2": "APT 2RW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282000",
            "telephone_number": "212-327-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPO",
        "first_name": "VALERIE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "P,T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-14",
        "last_updated": "2011-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2011; 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.