Justin Wayne Campbell, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT19420 Issued in FL

Practice address

2403 Woody Trace LN
Tampa, FL 33612-7122

Phone

(813) 325-6548

NPI assigned

Aug 3, 2018

Last updated

Aug 3, 2018By the provider in NPPES

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 FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Go-PT IncGroup PAC ID 9032566799, 25 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Go-PT Inc.

  dba Go-PT

  • Physical Therapist
  • Jupiter, FL
  • NPI 1295518553

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1205314044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 WOODY TRACE LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127122",
            "telephone_number": "813-325-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 WOODY TRACE LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127122",
            "telephone_number": "813-325-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JUSTIN",
        "middle_name": "WAYNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chieu Ho Campbell, PA-C
• Christopher E Campbell, OD
• Colleen C Campbell, M.D.
• Cori Anne Campbell, DPT
• Emily Campbell, LMHC
• Karen Campbell
• Kathleen Campbell, MD
• Kelly Anne Campbell, MD
• Kristy Lynne Campbell, ARNP
• Kyle Scott Campbell, MD

• Occupational Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.