Robert Bobby Campbell, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A04349 Issued in KY

Practice address

1550 Raydale Dr
Louisville, KY 40219-5031

Phone

(502) 968-6600

NPI assigned

May 1, 2023

Last updated

May 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1174211890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 WILLOWVIEW BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993973",
            "telephone_number": "763-439-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 RAYDALE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195031",
            "telephone_number": "502-968-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ROBERT",
        "middle_name": "BOBBY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "A04349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell J Campbell, MD
• Randall Joshua Campbell, M.D.
• Renee Campbell, LCSW
• Renee Campbell, APRN, CNM, WHNP-BC
• Robert Acree Campbell II, MD
• Sarah Elizabeth Campbell
• Sharon Campbell, LPN
• Terry S Campbell, MSN, CNM, ARNP
• Tiffany A Campbell, M.D.
• Campbellsville University (CU Well Counseling Center)

• Physical Medicine & Rehabilitation Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Medicine & Rehabilitation Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.