Ian Campbell, DPT
Individual provider Active NPI Pediatric Physical Therapist · North Charleston, SC
NPI 1154875995 · NPPES record last updated Aug 10, 2016
Key facts
- NPI
- 1154875995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 8291 (SC)
- Practice address
- 9225 University Blvd
Ste E2C
North Charleston, SC 29406-9149 - Phone
- (843) 569-4546
- Fax
- (843) 569-4535
- NPI assigned
- Aug 10, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8291 | SC | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 8291 | SC | Yes |
Addresses
Primary practice location
9225 University Blvd
Ste E2C
North Charleston, SC 29406-9149
Mailing address
9225 University Blvd
Ste E2C
North Charleston, SC 29406-9149
Phone (843) 569-4546
Other providers in North Charleston, SC
- Wendy Abigale Camacho
- Ronald Cameron
- James Scott Camp
- Meagan Camp
- Crystal D Campbell
- James D Campbell
- Kathryn Player Campbell
- Kevin William Campbell
- Kimberly Monique Campbell
- Shakina G Campbell
All providers in North Charleston, SC · Pediatric Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.