Jeremiah Jaymes Campbell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60933679 Issued in WA

Practice address

200 Nat Washington Way
Ephrata, WA 98823-1997

Phone

(509) 754-4631

NPI assigned

Jun 18, 2019

Sex

Male

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 WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grant County Public Hospital District No. 3 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbia Basin Hospital Hospital, Ephrata, WA, CCN 501317

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 and National Provider Directory roles.

• Grant County Public Hospital District 3

  • Emergency Medical Services (Emergency Medicine) Physician
  • Ephrata, WA
  • NPI 1134283930

  WA

  Medicare reassignment Care Compare group NPD
• Grant County Public Hospital District No 3

  • Critical Access Hospital
  • Ephrata, WA
  • NPI 1366506420
  Care Compare group
• Grant County Public Hospital District No. 3

  • Critical Access Hospital
  • Ephrata, WA
  • NPI 1811979610
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grant County Public Hospital District No. 3

  • Critical Access Hospital
  • Ephrata, WA
  • NPI 1811979610

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1164082582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NAT WASHINGTON WAY",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231982",
            "telephone_number": "509-717-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NAT WASHINGTON WAY",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231997",
            "telephone_number": "509-754-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JEREMIAH",
        "middle_name": "JAYMES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60933679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Busse
• Megan Jane Butterweck, OTD
• Meagan Ann Caldwell, ARNP
• Seth Daniel Caldwell, PA-C
• Gale Charles Campbell, DDS
• Danna Carvo
• Estela Casares
• Central Washington Health Services Association
• Fionna Chau
• Danielle Nicole Chia, PTA

• All providers in Ephrata, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.