Jacob Browning Campeau, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60936486

Practice address

7411 N Nevada St
Spokane, WA 99208-5518

Phone

(509) 489-2273

NPI assigned

Jun 27, 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

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1194386334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 DESTINY DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993628816",
            "telephone_number": "509-540-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085518",
            "telephone_number": "509-489-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPEAU",
        "first_name": "JACOB",
        "middle_name": "BROWNING",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "60936486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori L Campbell, LMP
• Margaret Elm Campbell, DDS
• Mary Jane Campbell, MS RN LMFT LMHC
• Nathan Campbell, DO
• Shayla Campbell
• Stephanie Camper, DPT
• Tamara Camper, MASS.MA.70006949
• Courtney Lee Camyn, BA
• James Steven Camyn, LICSW
• Canaan Homecare LLC

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.