Anais Mabell Campbell, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

405 Mathews St Unit a
Fort Collins, CO 80524-2909

Phone

(970) 818-8866

NPI assigned

Apr 19, 2019

Last updated

Apr 19, 2019By 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

Other names 1

• Anais M Dominguez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1184287609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MATHEWS ST UNIT A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242909",
            "telephone_number": "970-818-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MATHEWS ST UNIT A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242909",
            "telephone_number": "970-818-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANAIS",
        "middle_name": "MABELL",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANAIS",
            "last_name": "DOMINGUEZ",
            "middle_name": "M",
            "credential": "OTR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexandria Marie Camp, LCSW
• James J Campain
• Iliana Campanale
• Christine Campanella Dixon
• Carrie Lynn Campbell Broughton, MD
• Jane Campbell, LCSW
• Jodi Campbell
• Sydney Campbell
• Christopher Campernel, LSW
• Holt Thomas Campion, DO

• Occupational Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.