Stefano Campana

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016884 Issued in GA

Practice address

2316 S 6TH St Ste a
Klamath Falls, OR 97601-4300

Phone

(541) 887-2030

NPI assigned

Oct 13, 2023

Last updated

Oct 13, 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 2

Addresses

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": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1205617321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PINCHON PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224716",
            "telephone_number": "786-270-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 S 6TH ST STE A",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014300",
            "telephone_number": "541-887-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANA",
        "first_name": "STEFANO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "CP025623T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James F Calvert Jr., MD
• Peter Eugene Calvo, PSYD
• Lucaina Camarillo
• Allen James Camidge
• Brad Camidge
• Campus Drug Inc
• Campus Drug, Inc.
• Britt Cody Canales Jr.
• Jennifer L Cannon Noles, BS
• Holly J Card, RPH

• Physical Therapist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.