Tessa Marie Campbell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2890 Issued in NV

Practice address

4215 S Grand Canyon Dr Ste 101
Las Vegas, NV 89147

Phone

(702) 480-6042

Fax

(702) 702-4308

NPI assigned

Feb 18, 2014

Last updated

Jun 21, 2018By 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

Enrolled in NV, NJ2 enrollments

Enrollment records 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Health and Wellness Center LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1790222362
  Medicare reassignment NPD
• Patient Care Specialty Group Nevada LLC

  • Physical Therapist
  • Edison, NJ
  • NPI 1770361313

  NV

  Medicare reassignment NPD
• Patient Care Specialty Group PC

  • Family Medicine Physician
  • Edison, NJ
  • NPI 1477213106

  Physical Therapist

  Medicare reassignment NPD
• Patient Care Medical Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Woodbury, NJ
  • NPI 1891362364
  NPD
• Food Connection LLC

  • Registered Dietitian
  • Las Vegas, NV
  • NPI 1841632866
  NPD (past)

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1124442710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 S GRAND CANYON DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477173",
            "telephone_number": "702-448-6042",
            "fax_number": "702-430-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 S GRAND CANYON DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89147",
            "telephone_number": "702-480-6042",
            "fax_number": "702-702-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TESSA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne M Campbell
• Taylor Stuart Campbell, DO
• Tenacity Campbell
• Teresita Maritess Campbell
• Terrina Campbell
• Thomas A Campbell
• Tonya Rae Campbell
• Tori Campbell
• Venita Campbell
• Veronica Jean Campbell, R.D.

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.